Clinical analysis of 14 cases with nasal respiratory enithelial adenomatoid hamartom.
- Author:
Xuhui TAI
;
Xiubo LUO
;
Long ZI
;
Baoyu ZHU
;
Jianping JIA
;
Xin YANG
;
Yuehong SANG
- Publication Type:Case Reports
- MeSH:
Diagnosis, Differential;
Endoscopy;
Hamartoma;
diagnosis;
pathology;
surgery;
Humans;
Nasal Cavity;
Nasal Obstruction;
Nasal Polyps;
Neoplasm Recurrence, Local;
Nose Neoplasms;
diagnosis;
pathology;
surgery;
Paranasal Sinuses
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2014;28(23):1852-1855
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To describe and analyze the clinical features of nasal respiratory epithelial adenomatoid hamartom and improve the levels of diagnosis and treatment.
METHOD:Fourteen cases of nasal respiratory epithelial adenomatoid hamartom confirmed by pathology were collected and analyzed.
RESULT:In 14 cases, primary complaint of Hyposmia(or Anosmia)and nasal obstruction were occured in 13 and 11 cases respectively. Four cases had past history of endoscopic sinus surgery because of the diagnosis of nasal polyps. Polypoid neoplasms could be seen in the bilateral olfactory clefts. Sinus CT showed soft tissue shadows in bilateral nasal cavity and mucous membrane thickening in different sinus. Endoscopic sinus surgery were utilized to eliminate focus in all cases. All cases weren t recurred after 2-20 months' following-up visitings.
CONCLUSION:Nasal respiratory epithelial adenomatoid hamartom is so rare that clinical and pathological doctors have limited knowledge of it. It has its own characteristics from the clinical symptoms, signs to sinus CT although they are nonspecific. So we should improve the understanding about it to avoid misdiagnosis or missed diagnosis.