Respiratory chondromesenchymal hamartoma: case reports and literature review.

Differential diagnosis was made with inflammatory polyp, inverted papilloma and sinonasal adenocarcinoma to avoid an overlay aggressive treatment. The certain diagnosis was made by histopathology of the specimen. The patient underwent surgery. The procedure was conducted endonasally and endoscopically under a general anesthesia with atropine, Dormicum, dexamethasone, fentanyl, propofol, etomidate, Tracrium, Sevorane and Miofilin, and the surgery lasted 45 minutes. The mass was progressively dissected from Abstract. We report 2 cases of respiratory chondromesenchymal hamartoma (RCMH), rare, benign lesion, in 2 adult females. In Case 1 we had a 67 years-old woman and in Case 2 an 18 years-old woman. RCMH usually occurs in younger patients and more frequently in boys. In Case 1, the patient complained of chronic bilateral obstruction, posterior rhinorrhea and hyposmia. The tumor was located in nasal septum and it extended to the sphenoid sinus. In Case 2, she accused intermittent right hearing loss, and the lesion was in nasopharynx. Both cases underwent surgery. The procedure was conducted endonasally and endoscopically under a general anesthesia and the mass was removed. The postoperative period was uneventful. The certain diagnosis was histopathologic. After the surgery, there were no signs of recurrence, at 6 months for Case 1 and one year for Case 2.