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Barati B, Asadi M, Jahanshahi F, Naderi D, Parvizi M. Fibroepithelial polyp as an unexpected pathology in the external auditory canal: a case report. J Med Case Rep 2024; 18:466. [PMID: 39334512 PMCID: PMC11429670 DOI: 10.1186/s13256-024-04756-0] [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] [Received: 07/08/2024] [Accepted: 07/30/2024] [Indexed: 09/30/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE Fibroepithelial polyps are rare benign lesions with uncertain origins. They are commonly found in the skin and genitourinary system. Fibroepithelial polyps in the external auditory canal are infrequent. CASE PRESENTATION We report a 60-year-old Persian woman with an incidentally discovered painless fibroepithelial polyp in the right external auditory canal. Microscopic transcanal surgery confirmed the diagnosis after temporal computed tomography imaging showed a soft tissue mass. CLINICAL DISCUSSION Fibroepithelial polyps have an uncertain etiology and are typically asymptomatic. Surgical resection is the preferred treatment, and the prognosis following resection is generally favorable, with low recurrence rates. CONCLUSION This case highlights the rarity of fibroepithelial polyps in the external auditory canal and underscores the importance of considering them in the differential diagnosis of external auditory canal lesions.
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Affiliation(s)
- Behrouz Barati
- Division of Neurotology, Otolaryngology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahboobe Asadi
- Otolaryngology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Jahanshahi
- Research Committee Member, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
| | - Delaram Naderi
- Research Committee Member, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Maryam Parvizi
- Department of Pathology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Chen B, Xu L, Fan Y, Zhao L, Sun J, Huang J. Minimally Invasive Surgical Therapies for Ureteral Polyps: A Systematic Review. J Laparoendosc Adv Surg Tech A 2024; 34:313-317. [PMID: 38294894 DOI: 10.1089/lap.2023.0477] [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: 02/02/2024] Open
Abstract
Background: Ureteral polyps are rare benign ureteral tumor. No guideline recommends that open or minimally invasive surgery is best for treating ureteral polyps. This article aims to provide a comprehensive review of the minimally invasive techniques currently available for treating ureteral polyps. Materials and Methods: We performed a comprehensive search of articles published in PubMed, using the keywords "ureteral" and "polyp," or "polyps." Results: A total of 275 studies were obtained from the literature search but 96 articles were excluded. Conclusions: Several minimally invasive approaches were developed with the advancement of medical technology, including endoscopic, laparoscopic, and robotic approaches; however, the best surgical technique was yet to be decided. Due to the advantages and disadvantages of these approaches, the best surgical approach should be tailored to each patient's needs and the surgeon's preferences and experience.
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Affiliation(s)
- Bohong Chen
- Department of Urology, Hangzhou Ninth People's Hospital, Hangzhou, China
| | - Li Xu
- School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - Yi Fan
- Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China
| | - Liwei Zhao
- Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China
| | - Ji Sun
- Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China
| | - Jiaguo Huang
- Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China
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Sakai M, Nishimura B, Hiyama T, Kuno H, Shinozaki T, Sakamoto N, Nakajima T. Imaging of diffuse fibroepithelial polyps on surgical free flap in oral cancer patients: two case reports. Neuroradiology 2023; 65:815-818. [PMID: 36622386 DOI: 10.1007/s00234-022-03112-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 12/28/2022] [Indexed: 01/10/2023]
Abstract
Fibroepithelial polyp (FEP) is a common benign tumor occurring in the skin and genitourinary tract, and there are no reports of multiple FEPs occurring on the myocutaneous flap. We report two cases of FEPs occurring diffusely on the skin tissue of the free anterolateral thigh flap after surgical reconstruction for oral squamous cell carcinoma. Clinically, multiple papillary nodules on the myocutaneous flap gradually increased. CT and MRI showed multiple papillary nodules on an enhanced layer covering the entire myocutaneous flap. PET/CT showed high uptake. One case was diagnosed with FEPs by surgery, the other by biopsy. The tumor-limited localization on the myocutaneous flap, characteristic morphology showing multiple papillary projection with an enhanced layer, and MRI signal showing patchy mild elevation of the apparent diffusion coefficient value may help in differential diagnosis from tumor recurrence or secondary carcinoma of the myocutaneous flap on diagnostic imaging.
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Affiliation(s)
- Masafumi Sakai
- Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba, Ibaraki, 305-8576, Japan.
| | - Bungo Nishimura
- Department of Otorhinolaryngology, Head and Neck Surgery, Ibaraki Prefectural Central Hospital, Kasama, Japan
| | - Takashi Hiyama
- Department of Diagnostic Radiology, National Cancer Center Hospital East, Kashiwa, Japan
| | - Hirofumi Kuno
- Department of Diagnostic Radiology, National Cancer Center Hospital East, Kashiwa, Japan
| | - Takeshi Shinozaki
- Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan
| | - Noriaki Sakamoto
- Department of Diagnostic Pathology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Takahito Nakajima
- Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba, Ibaraki, 305-8576, Japan
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Dong Y, Zhang WD, Fan T, Hao L, Zhou JH, Ma WM, Han CH. A case of flank pain caused by ureteral intussusception accompanied with ureteral polyp. BMC Nephrol 2020; 21:246. [PMID: 32611332 PMCID: PMC7329450 DOI: 10.1186/s12882-020-01904-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 06/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ureteral intussusception, a rarely reported unique condition, occurs primarily as a complication of ureteric tumours. CASE PRESENTATION We present a case of ureteral intussusception accompanied with a large ureteral polyp periodically protruding into the bladder cavity occurring in a 56-year-old man who experienced vague flank pain and intermittent haematuria. The patient was successfully treated by ureteroscopic cauterization combined with partial ureterectomy with reanastomosis. CONCLUSIONS This is the first report that describes polyp-related ureteral intussusception using comprehensive and representative ureteroscopic images and video. Our findings suggest that ureteroscopy is vital for diagnosis. Extensive biopsies through ureteroscopy are less invasive, and make it easier to exclude the presence of ureteral malignancies. Ureteroscopic resection of the whole polyp with its stalk and intussusceptum using Holmium: YAG laser did not seem viable in this case. However, cauterization of partial polyp tissues followed by open surgery for segmental resection of the ureter with reanastomosis is helpful in controlling such patient well-being.
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Affiliation(s)
- Yang Dong
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Wen-da Zhang
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Tao Fan
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Lin Hao
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Jia-He Zhou
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Wei-Ming Ma
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China
| | - Cong-Hui Han
- Department of Urology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Jiefang South Road, No. 199, Xuzhou, Jiangsu, China.
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Shin DY, Yang HJ, Paik JS, Yang SW. Fibroepithelial Polyp on the Eyelid Margin: A Case Report. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2017. [DOI: 10.3341/jkos.2017.58.2.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Da-Young Shin
- Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hee-Jung Yang
- Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Ji-Sun Paik
- Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Suk-Woo Yang
- Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Arda MS, Ilhan H, Kara T, Arık D, Tokar B. Laparoscopic Approach to a Rare Cause of Ureteropelvic Junction Obstruction in a Child: Ureteral Polyp. European J Pediatr Surg Rep 2015; 3:78-81. [PMID: 26788453 PMCID: PMC4712053 DOI: 10.1055/s-0035-1555654] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Accepted: 04/30/2015] [Indexed: 11/25/2022] Open
Abstract
Fibroepithelial polyps are a rare underlying reason of ureteropelvic junction obstruction. In the past, open surgery was the only option. However, due to development of minimal invasive technics, treatment alternatives have been changed. Resection by laparoscopy or endoscopy, laser fulguration and/or percutaneous resection are recommended in children and adults. Here, we present a 10-year-old boy with severe left hydronephrosis due to fibroepithelial polyp close to the ureteropelvic junction and our laparoscopic approach.
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Affiliation(s)
- Mehmet Surhan Arda
- Department of Pediatric Surgery, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
| | - Huseyin Ilhan
- Department of Pediatric Surgery, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
| | - Taylan Kara
- Department of Radiology, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
| | - Deniz Arık
- Department of Pathology, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
| | - Baran Tokar
- Department of Pediatric Surgery, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
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Ludwig DJ, Buddingh KT, Kums JJM, Kropman RF, Roshani H, Hirdes WH. Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review. Can Urol Assoc J 2015; 9:E631-7. [PMID: 26425226 DOI: 10.5489/cuaj.2878] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Fibroepithelial polyps of the ureter are rare. Cases and small series are reported in the literature. The treatment of choice, outcome and appropriate follow-up regimen remain unclear. METHODS We conducted a systematic literature review of papers reporting fibroepithelial polyps of the ureter in adult patients. Articles published before 1980 were excluded. RESULTS The search yielded 144 papers, of which 68 met the inclusion criteria. A reference scan from the included 68 yielded an additional 7 new articles. In total, our study included 75 articles (68 + 7). A total of 134 patients were described. Most patients had a single lesion (range: 1-10). The median length of the polyp was 4.0 cm (range: 0.4-17.0). The percentage of polyps resected endoscopically increased from 0% before 1985 to 67% after 2005. Two perioperative complications were reported in 72 procedures (2.8%): a deep venous thrombosis and a case of mesenteric lymphadenopathy. Both of these occurred after open surgery. Follow-up data were available for 57 patients. The median follow-up was 12 months (range: 1-180). Four patients (7.0%) developed recurrent complaints: 2 had urinary stones, 1 had a ureteral stricture and 1 had recurrence of the polyp. Three of these events followed endoscopic resection, and occurred within a year after the procedure. CONCLUSION Endoscopic resection of fibroepithelial polyps seems to be safe and effective. It is minimally invasive and should be considered the gold standard where endoscopic expertise is available. We advise follow-up imaging by computed tomographic intravenous urography after 3 months and ultrasound after 1 year to detect late complications.
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Affiliation(s)
- Dina J Ludwig
- Department of Urology, Haga Teaching Hospital, The Hague, The Netherlands
| | - Karel T Buddingh
- Department of Urology, Haga Teaching Hospital, The Hague, The Netherlands
| | - Jan J M Kums
- Department of Urology, Isala Clinics, Zwolle, The Netherlands
| | - René F Kropman
- Department of Urology, Haga Teaching Hospital, The Hague, The Netherlands
| | - Hossain Roshani
- Department of Urology, Haga Teaching Hospital, The Hague, The Netherlands
| | - Willem H Hirdes
- Department of Urology, Isala Clinics, Zwolle, The Netherlands
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A case of sensorineural hearing loss involving a fibroepithelial polyp of the middle ear. Am J Otolaryngol 2015; 36:475-8. [PMID: 25701460 DOI: 10.1016/j.amjoto.2015.01.021] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 01/27/2015] [Indexed: 11/20/2022]
Abstract
Primary middle ear neoplasms are rare, and commonly cause conductive hearing loss. When aural masses result in sensorineural hearing loss, malignant etiologies are often suspected. Fibroepithelial polyps are benign lesions commonly found in the skin and genitourinary tract and are not commonly identified as primary lesions of the middle ear. Here, we present a case of a benign fibroepithelial polyp of the middle ear causing sensorineural hearing loss and describe its surgical management. Imaging and histologic characteristics are reviewed.
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Abstract
Patient: Male, 11 Final Diagnosis: Fibroepithelial polyp of epiglottis Symptoms: Dysphagia • sore throat Medication: — Clinical Procedure: — Specialty: —
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Affiliation(s)
- Zainab Farzal
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, USA
| | - Seckin O Ulualp
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, USA
| | - Dinesh Rakheja
- Departments of Pathology and Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, USA
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10
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Abstract
Fibroepithelial polyp (FEP) is a benign tumor of mesodermal origin, composed of varying amounts of stroma covered by epithelium. The skin and the genitourinary tract are the most common sites of FEP. Uncommon locations of FEP include the inferior turbinate of the nasal cavity, bronchi, and the pharynx. To date, there has been no report of orbital FEP. The authors describe a patient with congenital orbital FEP arising from the lateral canthal area. This congenital FEP was completely excised successfully through an anterior orbitotomy without any complications, with no evidence of recurrence after 25 months.
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