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An Obstructing Benign Fibroepithelial Polyp
Published in Wickii T. Vigneswaran, Thoracic Surgery, 2019
Reilly Hobbs, Rishindra M. Reddy
He sought a second opinion at a tertiary care center with a high volume of esophageal surgery. Upon review of his films and tests, it was felt that his lesion was consistent with a benign fibroepithelial polyp, and that resection of the polyp, with preservation of the esophagus was the preferred approach. He underwent a left-sided cervical neck incision with an esophagotomy in order to remove the polyp. An anterior myotomy was performed and the submucosal plane was explored. The mucosa was then entered to better delineate the anatomy of the polyp. The stalk was identified, arising from the submucosa. The stalk was ligated and divided at the base with the esophageal mucosa repaired primarily. The mass was fully mobilized, but a manubrial split was necessary to remove the mass from the thoracic inlet due to its size. His manubrium was closed with wires, and a nasogastric tube was placed. The final pathology confirmed the diagnosis of a benign fibroepithelial polyp measuring 13 × 9 × 6 cm (Figure 38.3). No further surveillance imaging or testing was indicated. The nasogastric tube was removed on postoperative day 2, and an esophagram was performed that showed no signs of leak (Figure 38.4). He was discharged on postoperative day 4 tolerating a soft diet. He was able to transition to a regular diet shortly thereafter and had no symptoms of dysphagia on his postoperative follow-up.
Benign tumors
Published in Archana Singal, Shekhar Neema, Piyush Kumar, Nail Disorders, 2019
Tumors are of epithelial, fibroepithelial, fibrous and other mesenchymal, vascular, neurogenic, lymphatic, and melanocytic origin. Also, a variety of reactive and degenerative conditions (pseudotumors) may present in a similar manner (Figure 26.1). The clinical diagnosis is often challenging as the macroscopic appearance of these tumors is often non-specific and is modified by the specific anatomy of the nail apparatus, rendering histopathology the gold standard of diagnosis. In addition, secondary alterations due to trauma or infection may change the clinical appearance and, hence, a thorough personal history of the patient along with histopathology of the lesion is key to the diagnosis.
Introductory Remarks
Published in Dongyou Liu, Tumors and Cancers, 2017
Primary tumors of the breast consist of epithelial tumors, myoepithelial lesions, mesenchymal tumors, fibroepithelial tumors, tumors of the nipple, malignant lymphoma, metastatic tumors, and tumors of the male breast [5].
Giant Anal Fibroepithelial Polyp in a Healthy Teenage Boy: A Case Report and Literature Review
Published in Fetal and Pediatric Pathology, 2022
Kelley Park, Paulette Abbas, Scott Langenburg, Janet Poulik, Abdul Hanan, Bahig M. Shehata
In addition, there is literature about lymphatic neoplasms of the anus, as well as lymphatic dominant fibroepithelial polyps of other locations. A report by Val- Bernal, et al. described a small pedunculated anal lymphangioma in a 40 year old woman with history of significant gastrointestinal symptoms. This lesion presented at the transition zone of the anal canal and displayed a mass characterized by dilated lymphatic vessels and large cystic vasculature with an epithelial covering [8]. Although this lesion shared many histologic similarities to our case, the size, age of the patient, and clinical background remain distinct. Can, et al. and Fletsch, et al. also both discussed fibroepithelial polyps. Can, et al. described a 21 year old patient with a 14 × 6 fibroepithelial polyp of the anterior chest wall that had dilated lymphedematous channels on pathology [9]. Fletsch, et al. presented a series of similar histology from penile lesions after the use of chronic condom catheters. The authors in both papers discussed how prolonged lymphatic stasis and chronic inflammation may be key in the formation of lesions with this cellular make-up [10]. While these cases also present patients with giant fibroepithelial polyps, lymphedematous lesions, or lymphangiomas, our novel presentation, to our knowledge, this is the only case found of a healthy adolescent, with no anal disease or trauma, presenting with a giant anal margin lymphangioma.
Incidental ureteral fibroepithelial polyp
Published in Baylor University Medical Center Proceedings, 2020
Hikmet Köseoğlu, Tolga Eroğlu, Celal Akdemir, Hasan Turan, Cem Leblebici
Fibroepithelial polyps might be asymptomatic, only presenting with painless hematuria; however, with the advancing obstruction effect, symptoms might include flank pain and/or hematuria.3,5,6 Distal ureteral polyps have been reported to protrude out through the urethra in female patients and may cause associated hematuria and dysuria due to irritation.7,8 Especially when bilateral and multiple, polyps might cause acute renal failure in frail patients with malignancy.9