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Erschienen in: Head and Neck Pathology 3/2008

01.09.2008 | Original Paper

Respiratory Epithelial Adenomatoid Hamartoma: A Review

verfasst von: Valerie A. Fitzhugh, Neena Mirani

Erschienen in: Head and Neck Pathology | Ausgabe 3/2008

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Abstract

Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon lesion of the upper aerodigestive tract first described by Wenig and Heffner in 1995 as prominent glandular proliferations lined by ciliated respiratory epithelium originating from the surface epithelium. The entity is seen most often in male adults. Clinically the lesion presents as a polypoid mass, often in one or both nasal cavities, though other locations have been described. While REAH is benign, awareness and recognition of the lesion is important because it can be easily confused grossly and microscopically with more threatening tumors such as inverted papilloma and sinonasal carcinoma. The literature of REAH is reviewed with detail paid to the histologic diagnosis. The clinical presentation, radiologic findings, and differential diagnosis are also described.
Literatur
1.
Zurück zum Zitat Kumar V, Abbas AK, Fausto N. Neoplasia. In: Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran pathologic basis of human disease, 7th edition. Philadelphia, PA: Elsevier-Saunders Publishing Company; 2005. p. 272. Kumar V, Abbas AK, Fausto N. Neoplasia. In: Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran pathologic basis of human disease, 7th edition. Philadelphia, PA: Elsevier-Saunders Publishing Company; 2005. p. 272.
2.
Zurück zum Zitat Wenig BM, Heffner DK. Respiratory epithelial adenomatoid hamartomas of the sinonasal tract and nasopharynx: a clinicopathologic study of 31 cases. Ann Otol Rhinol Laryngol. 1995;104:639–45.PubMed Wenig BM, Heffner DK. Respiratory epithelial adenomatoid hamartomas of the sinonasal tract and nasopharynx: a clinicopathologic study of 31 cases. Ann Otol Rhinol Laryngol. 1995;104:639–45.PubMed
3.
Zurück zum Zitat Endo R, Matsuda H, Takahashi M, et al. Respiratory epithelial adenomatoid hamartoma in the nasal cavity. Acta Otolaryngol. 2002;122:398–400.PubMedCrossRef Endo R, Matsuda H, Takahashi M, et al. Respiratory epithelial adenomatoid hamartoma in the nasal cavity. Acta Otolaryngol. 2002;122:398–400.PubMedCrossRef
4.
Zurück zum Zitat Delbrouck C, Fernandez Aguilar S, et al. Respiratory epithelial adenomatoid hamartoma associated with nasal polyposis. Am J Otolaryngol. 2004;25:282–4.PubMedCrossRef Delbrouck C, Fernandez Aguilar S, et al. Respiratory epithelial adenomatoid hamartoma associated with nasal polyposis. Am J Otolaryngol. 2004;25:282–4.PubMedCrossRef
5.
Zurück zum Zitat Sangoi AR, Berry G. Respiratory epithelial adenomatoid hamartoma: diagnostic pitfalls with emphasis on differential diagnosis. Adv Anat Pathol. 2007;14:11–6.PubMedCrossRef Sangoi AR, Berry G. Respiratory epithelial adenomatoid hamartoma: diagnostic pitfalls with emphasis on differential diagnosis. Adv Anat Pathol. 2007;14:11–6.PubMedCrossRef
6.
Zurück zum Zitat Ingram WF, Noone MC, Gillespie MB. Respiratory adenomatoid hamartoma: a case report. Ear Nose Throat J. 2006;85:190–2.PubMed Ingram WF, Noone MC, Gillespie MB. Respiratory adenomatoid hamartoma: a case report. Ear Nose Throat J. 2006;85:190–2.PubMed
8.
Zurück zum Zitat Flavin R, Russell J, Phelan E, et al. Chondro-osseous respiratory epithelial adenomatoid hamartoma of the nasal cavity: a case report. Int J Pediatr Otorhinolaryngol. 2005;69:87–91.PubMedCrossRef Flavin R, Russell J, Phelan E, et al. Chondro-osseous respiratory epithelial adenomatoid hamartoma of the nasal cavity: a case report. Int J Pediatr Otorhinolaryngol. 2005;69:87–91.PubMedCrossRef
9.
Zurück zum Zitat Himi Y, Yoshizaki T, Sato K, et al. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus. J Laryngol Otol. 2002;116:317–8.PubMedCrossRef Himi Y, Yoshizaki T, Sato K, et al. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus. J Laryngol Otol. 2002;116:317–8.PubMedCrossRef
10.
Zurück zum Zitat Kessler HP, Unterman B. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus presenting as a periapical radiolucency: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:607–12.PubMedCrossRef Kessler HP, Unterman B. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus presenting as a periapical radiolucency: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:607–12.PubMedCrossRef
11.
Zurück zum Zitat Metselaar RM, Stel HV, van der Baan S. Respiratory epithelial adenomatoid hamartoma of the nasopharynx. J Laryngol Otol. 2005;119:476–8.PubMedCrossRef Metselaar RM, Stel HV, van der Baan S. Respiratory epithelial adenomatoid hamartoma of the nasopharynx. J Laryngol Otol. 2005;119:476–8.PubMedCrossRef
12.
Zurück zum Zitat Malinvaud D, Halimi P, Côté JF, et al. Adenomatoid hamartoma of the ethmoid sinus: one case report. Rev Laryngol Otol Rhinol. 2004;125:45–8. Malinvaud D, Halimi P, Côté JF, et al. Adenomatoid hamartoma of the ethmoid sinus: one case report. Rev Laryngol Otol Rhinol. 2004;125:45–8.
13.
Zurück zum Zitat Roffman E, Baredes S, Mirani N. Respiratory epithelial adenomatoid hamartomas and chondro-osseous respiratory epithelial adenomatoid hamartomas of the sinonasal tract: a case series and literature review. Am J Rhinol. 2006;20:596–90.CrossRef Roffman E, Baredes S, Mirani N. Respiratory epithelial adenomatoid hamartomas and chondro-osseous respiratory epithelial adenomatoid hamartomas of the sinonasal tract: a case series and literature review. Am J Rhinol. 2006;20:596–90.CrossRef
14.
Zurück zum Zitat Lima MB, Jankowski R, Georgel T, et al. Respiratory adenomatoid hamartoma must be suspected on CT scan enlargement of the olfactory clefts. Rhinology. 2006;44:264–9.PubMed Lima MB, Jankowski R, Georgel T, et al. Respiratory adenomatoid hamartoma must be suspected on CT scan enlargement of the olfactory clefts. Rhinology. 2006;44:264–9.PubMed
15.
Zurück zum Zitat Braun H, Beham A, Stammberger H. Respiratory epithelial adenomatoid hamartoma of the nasal cavity case report and review of the literature. Laryngorhinootologie. 2003;82:416–20.PubMedCrossRef Braun H, Beham A, Stammberger H. Respiratory epithelial adenomatoid hamartoma of the nasal cavity case report and review of the literature. Laryngorhinootologie. 2003;82:416–20.PubMedCrossRef
16.
Zurück zum Zitat Starska K, Lukomski M, Ratyńska M. Rare case of a respiratory epithelial adenomatoid hamartoma of the nasal cavity, maxillary sinus et ethmoid sinuses: a clinicopathologic study. Otolaryngol Pol. 2005;59:421–4.PubMed Starska K, Lukomski M, Ratyńska M. Rare case of a respiratory epithelial adenomatoid hamartoma of the nasal cavity, maxillary sinus et ethmoid sinuses: a clinicopathologic study. Otolaryngol Pol. 2005;59:421–4.PubMed
17.
Zurück zum Zitat Ozolek JA, Barnes EL, Hunt JL. Basal/myoepithelial cells in chronic sinusitis, respiratory epithelial adenomatoid hamartoma, inverted papilloma, and intestinal-type and nonintestinal-type sinonasal adenocarcinoma: an immunohistochemical study. Arch Pathol Lab Med. 2007;131:530–7.PubMed Ozolek JA, Barnes EL, Hunt JL. Basal/myoepithelial cells in chronic sinusitis, respiratory epithelial adenomatoid hamartoma, inverted papilloma, and intestinal-type and nonintestinal-type sinonasal adenocarcinoma: an immunohistochemical study. Arch Pathol Lab Med. 2007;131:530–7.PubMed
18.
Zurück zum Zitat Ozolek JA, Hunt JL. Tumor suppressor gene alterations in respiratory epithelial adenomatoid hamartoma (REAH): comparison to sinonasal adenocarcinoma and inflamed sinonasal mucosa. Am J Surg Pathol. 2006;30:1576–80.PubMedCrossRef Ozolek JA, Hunt JL. Tumor suppressor gene alterations in respiratory epithelial adenomatoid hamartoma (REAH): comparison to sinonasal adenocarcinoma and inflamed sinonasal mucosa. Am J Surg Pathol. 2006;30:1576–80.PubMedCrossRef
19.
Zurück zum Zitat Mills SE, Gaffey MJ, Frierson HF. Miscellaneous tumor like lesions. In: Atlas of tumor pathology: tumors of the upper aerodigestive tract and ear 3rd series. Washington, D.C.: Armed Forces Institute of Pathology; 2000. p. 357–9. Mills SE, Gaffey MJ, Frierson HF. Miscellaneous tumor like lesions. In: Atlas of tumor pathology: tumors of the upper aerodigestive tract and ear 3rd series. Washington, D.C.: Armed Forces Institute of Pathology; 2000. p. 357–9.
20.
Zurück zum Zitat Rosai J. Respiratory tract. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology 9th edition. New York, NY.: Elsevier, Inc; 2004. p. 308–11. Rosai J. Respiratory tract. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology 9th edition. New York, NY.: Elsevier, Inc; 2004. p. 308–11.
Metadaten
Titel
Respiratory Epithelial Adenomatoid Hamartoma: A Review
verfasst von
Valerie A. Fitzhugh
Neena Mirani
Publikationsdatum
01.09.2008
Verlag
Humana Press Inc
Erschienen in
Head and Neck Pathology / Ausgabe 3/2008
Elektronische ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-008-0064-3

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