Park Marn Joon, Seo Youjeong, Joo Soo Hyun
Department of Otorhinolaryngology - Head and Neck Surgery, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Department of Pathology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Ear Nose Throat J. 2023 Aug 26:1455613231195417. doi: 10.1177/01455613231195417.
Benign tumors or malignant neoplasms must be evaluated in patients with unilateral nasal cavity mass lesions. The 3 most prevalent unilateral benign mass lesions in such individuals are nasal polyps (NPs) and inverted papillomas (IPs). Although rare, it should be kept in mind that sinonasal hamartomas can be occasionally diagnosed as well. Among sinonasal hamartomas, respiratory epithelial adenomatoid hamartoma is more prevalent, with seromucinous hamartoma (SMH) being the second most common. Unlike NPs, sinonasal hamartomas are benign tumors with growth potential, which means it should not be undertreated and warrants surgical removal for treatment. However, sinonasal hamartomas do not have local invasion or malignant transformation potential like IPs; hence, it is vital not to overtreat them. Therefore, understanding the histopathology of SMH and thereby establishing proper surgical planning prior to the surgery remains crucial in such cases. Here, we present a successfully treated case of SMH with a distinctive radiographic, gross, and pathological clinical image of SMH.
对于单侧鼻腔肿物患者，必须对良性肿瘤或恶性肿瘤进行评估。此类个体中最常见的3种单侧良性肿物是鼻息肉（NP）和内翻性乳头状瘤（IP）。虽然罕见，但应记住鼻窦错构瘤偶尔也可被诊断出来。在鼻窦错构瘤中，呼吸上皮性腺瘤样错构瘤更为常见，浆液黏液性错构瘤（SMH）是第二常见的。与鼻息肉不同，鼻窦错构瘤是具有生长潜能的良性肿瘤，这意味着不应治疗不足，而应进行手术切除治疗。然而，鼻窦错构瘤不像内翻性乳头状瘤那样具有局部侵袭或恶变潜能；因此，至关重要的是不要过度治疗。所以，了解浆液黏液性错构瘤的组织病理学并在手术前制定适当的手术方案在这类病例中仍然至关重要。在此，我们展示一例成功治疗的浆液黏液性错构瘤病例，其具有独特的影像学、大体和病理临床图像。
