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Respiratory epithelial adenomatoid hamartoma: a diagnostic challenge in sinonasal lesions
  1. Shailesh Ramesh Agrawal,
  2. Anagha Atul Joshi,
  3. Nikhil Dhorje and
  4. Renuka Bradoo
  1. ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Shailesh Ramesh Agrawal, drshailesh3187{at}


Respiratory epithelial adenomatoid hamartoma (REAH) is a rare lesion in nasal cavity first reported by Wenig and Heffner in 1995. Most commonly seen in men in third to ninth decade of life. Majority of cases presents as a polypoidal mass in one or both nasal cavities. We experienced such a case of REAH originating from the nasal septum, in posterior aspect, treated by endoscopic approach. It is important to differentiate REAH from other sinonasal pathologies like inverted papilloma and low grade sinonasal adenocarcinoma. Complete surgical resection is the treatment of choice.

  • nasal polyps
  • otolaryngology/ENT

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  • Contributors RB and AAJ served as scientific advisors, critically reviewed the study proposal and proofread the article. ND helped in collecting data and SRA was involved with the idea of writing an article, technical editing, language editing and patient care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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