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Kim CH, Cho HJ, Kim CH, Rha MS. Sinonasal seromucinous hamartoma: a single institution case series combined with a narrative review of the literature. Eur Arch Otorhinolaryngol 2024:10.1007/s00405-024-08759-x. [PMID: 38814483 DOI: 10.1007/s00405-024-08759-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 05/26/2024] [Indexed: 05/31/2024]
Abstract
PURPOSE This study aimed to investigate the clinical and histopathological characteristics of sinonasal seromucinous hamartomas (SHs). METHODS Eight patients with sinonasal SH and treated at a tertiary hospital between November 2005 and September 2023 were included. Additionally, a systematic review of published articles was conducted, analyzing 48 cases of SH described in the literature. RESULTS Among the eight patients treated at our institution, tumors originated from the posterior nasal cavity in four patients and middle turbinate and middle meatus were the primary origin in two patients each. Coexistence of inflammatory nasal polyps (NPs) was observed in four cases. Histopathologically, four patients exhibited focal respiratory epithelial adenomatoid hamartoma (REAH) features, and low-grade dysplasia was found in one patient. A combined analysis with previous literature revealed that 46.3% of all cases originated in the anterior nasal cavity. The proportions of cases accompanied by NPs and those with focal REAH features were 20.5% and 39.1%, respectively. Additionally, the frequencies of cases exhibiting dysplastic features (5.4%) and recurrence (2.1%) were low. Remarkably, tumors originating from the anterior region tended to have a higher frequency of dysplasia than those originating from the posterior region, although this difference was not statistically significant (p = 0.0996). CONCLUSION Patients with sinonasal SH showed favorable treatment outcomes following surgical resection. Focal REAH features and accompanying NPs were frequently observed. A substantial proportion of cases originate in the anterior nasal cavity, and these tumors may exhibit a high tendency for dysplasia.
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Affiliation(s)
- Chan Hee Kim
- Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| | - Hyung-Ju Cho
- Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
- The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Chang-Hoon Kim
- Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
- The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Republic of Korea
- The Korea Mouse Phenotyping Center, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Min-Seok Rha
- Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
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Ito S, Ide T, Ishikawa K, Hashizume A, Matsumoto F, Higo R. A Rare Case of Sinonasal Seromucinous Hamartoma Developing from the Nasal Septum. EAR, NOSE & THROAT JOURNAL 2023:1455613231213496. [PMID: 37991209 DOI: 10.1177/01455613231213496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2023] Open
Abstract
A 45-year-old man presented with a history of chronic left nasal congestion. Nasal endoscopy revealed a pedunculated polypoid mass with glandular epithelium surface on the posterior nasal septum. Computed tomography revealed a 25-mm mass-like growth in the left posterior nasal cavity attached to the nasal septum with a stalk. The patient underwent transnasal endoscopic surgery, and the tumor was removed under a block with safety margin. The final pathological diagnosis was sinonasal seromucinous hamartoma (SH). Sinonasal SH is a rare tumor with only 31 reported cases. Transnasal endoscopic surgery is currently the first-line treatment for sinonasal SH. Differential diagnoses of this lesion include inflammatory polyps, respiratory epithelial adenomatoid hamartoma, and adenocarcinoma. Although SH is a benign tumor, its progression to adenocarcinoma has been reported. Therefore, unilateral posterior nasal tumors must be diagnosed precisely.
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Affiliation(s)
- Shin Ito
- Department of Otorhinolaryngology-Head and Neck Surgery, Juntendo University Urayasu Hospital, Chiba, Japan
| | - Takuma Ide
- Department of Otorhinolaryngology-Head and Neck Surgery, Juntendo University Urayasu Hospital, Chiba, Japan
| | - Kazuma Ishikawa
- Department of Otorhinolaryngology-Head and Neck Surgery, Juntendo University Urayasu Hospital, Chiba, Japan
| | - Akane Hashizume
- Department of Pathology, Juntendo University Urayasu Hospital, Chiba, Japan
| | - Fumihiko Matsumoto
- Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan
| | - Ryuzaburo Higo
- Department of Otorhinolaryngology-Head and Neck Surgery, Juntendo University Urayasu Hospital, Chiba, Japan
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Raviprasad AG, Malaty J, Wynne B, Orlando FA. Incidental seromucinous hamartoma of the anterior nasal cavity presenting after episode of vestibular neuritis. BMJ Case Rep 2023; 16:e254889. [PMID: 37914165 PMCID: PMC10626906 DOI: 10.1136/bcr-2023-254889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2023] Open
Abstract
A woman in her 70s presented to primary care clinic complaining of acute onset dizziness for 1 day that was initially diagnosed as vestibular neuritis and treated with steroids. The next day, she presented to the emergency department with worsening symptoms. Imaging revealed no intracranial process; however, non-contrast CT imaging revealed a soft-tissue mass in the posterior ethmoid sinus. The vertigo completely resolved before an otolaryngologist surgically removed the nasal mass, which actually originated from the right cribriform plate and extended to the anterior middle turbinate head. The final pathology was consistent with seromucinous hamartoma.
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Affiliation(s)
| | - John Malaty
- Department of Community Health and Family Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA
| | - Brianna Wynne
- Division of Geriatrics, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA
| | - Frank A Orlando
- Department of Community Health and Family Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA
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Liao J, Zhang X, Xu W, Li F, Qin G. Nasal Respiratory Epithelial Adenomatoid Hamartoma: Three Case Reports and Review of the Literature. EAR, NOSE & THROAT JOURNAL 2023:1455613231198996. [PMID: 37743844 DOI: 10.1177/01455613231198996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023] Open
Abstract
Hamartomas, as non-true tumors, are commonly found in the lungs, digestive tract, and kidneys, and there are few clinical reports on nasal cases. Nasal histiocytosis accompanied by lymphatic lesions is a common feature of nasal hamartoma. Three patients with nasal cavity hamartoma were treated in our department, including 1 male and 2 females, with nasal obstruction or epistaxis. The imaging (computed tomography, magnetic resonance imaging) of 2 patients showed a soft tissue mass in the nasal cavity and no erosion of bone, while in 1 patient, the imaging was inconclusive. The excised material in all patients was found to be a soft mass. The 3 cases showed the same pattern under histological examination, and all 3 patients were diagnosed with nasal cavity respiratory epithelial adenomatoid hamartoma (REAH). Nasal hamartoma is a rare disease with nonspecific clinical manifestations and imaging features and is often misdiagnosed. Only by a better understanding of this disease can the rate of correct clinical diagnosis be improved.
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Affiliation(s)
- Jiangxue Liao
- Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Xuge Zhang
- Department of Otolaryngology Head and Neck Surgery, Dazhou Integrated TCM & Wester Medicine Hospital, Dazhou, Sichuan, China
| | - Wei Xu
- Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Fei Li
- Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Gang Qin
- Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
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Basiari L, Michali M, Komnos I, Tsirves G, Tsoumani V, Kastanioudakis I. Seromucinous Hamartoma of the Lateral Nasal Wall with Infiltration of the Orbit: A Rare Case Report and Review of the Literature. Case Rep Otolaryngol 2023; 2023:1923015. [PMID: 37601823 PMCID: PMC10439829 DOI: 10.1155/2023/1923015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 07/15/2023] [Accepted: 08/06/2023] [Indexed: 08/22/2023] Open
Abstract
Seromucinous hamartoma is a rare benign glandular proliferation arising from the respiratory epithelium of the sinonasal tract and nasopharynx. It was described for the first time in 1974 by Baillie and Batsakis. Since then, few cases have been reported in the literature with most of them occurring in the posterior nasal septum. We report the case of a 52-year-old woman that presented to our department with left periorbital edema, pain, and dacryorrhea due to seromucinous hamartoma arising from the left inferior turbinate and extending through the lateral nasal wall into the maxilla, the nasolacrimal duct, and the orbit. Endoscopic medial maxillectomy and endoscopic transnasal orbital tumor resection were performed. The patient remains symptom-free for 16 months, till her most recent follow-up. Seromucinous hamartoma of the nasal cavity is an exceedingly rare diagnosis, especially in the lateral nasal wall. It should be included in the differential diagnosis of nasal tumors. According to the literature review, this is the first case report of seromucinous hamartoma with orbit infiltration. Endonasal endoscopic resection is the treatment of choice.
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Affiliation(s)
- Lentiona Basiari
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
| | - Maria Michali
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
| | - Ioannis Komnos
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
| | - Georgios Tsirves
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
| | - Victoria Tsoumani
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
| | - Ioannis Kastanioudakis
- Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece
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Muacevic A, Adler JR, Rhazari M, Thouil A, Marouf R, Kouismi H. Tracheal Hamartoma: A Case Report. Cureus 2022; 14:e32128. [PMID: 36601160 PMCID: PMC9805699 DOI: 10.7759/cureus.32128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2022] [Indexed: 12/03/2022] Open
Abstract
Hamartoma is the most frequently observed benign lung tumor, but its tracheal form is still exceptionally encountered. Cough, dyspnea, hemoptysis, and chest pain are all possible symptoms of tracheal hamartoma. The non-specific symptoms may also lead to a delayed diagnosis, and while the choice of treatment varies depending on the size and location of the lesion, conservative treatments remain strongly recommended. This report presents the case of a 57-year-old male who presented to our department with inspiratory dyspnea. Clinico-radiological data and bronchoscopy revealed a benign tracheal tumor of the lipomatous hamartoma type. The patient underwent a tumor resection by rigid bronchoscopy with satisfactory clinical results.
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Goto M, Nishimoto K, Jougasaki Y, Matsuzaki T, Nomoto M. Respiratory epithelial adenomatoid hamartomas of the sinonasal tract: A histopathological analysis of 50 patients. Pathol Int 2022; 72:541-549. [DOI: 10.1111/pin.13271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 08/21/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Masamichi Goto
- Department of Pathology National Hospital Organization Kagoshima Medical Center Kagoshima Japan
| | - Kengo Nishimoto
- Department of Otorhinolaryngology National Hospital Organization Kagoshima Medical Center Kagoshima Japan
| | - Yasuyo Jougasaki
- Department of Pathology National Hospital Organization Kagoshima Medical Center Kagoshima Japan
| | - Tsutomu Matsuzaki
- Department of Otorhinolaryngology National Hospital Organization Kagoshima Medical Center Kagoshima Japan
| | - Mitsuharu Nomoto
- Department of Pathology National Hospital Organization Kagoshima Medical Center Kagoshima Japan
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