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Case Reports
. 2017 Apr 7:13:6-9.
doi: 10.1016/j.eucr.2017.03.015. eCollection 2017 Jul.

Giant Ureteral Fibroepithelial Polyp with Intermittent Prolapse Reaching the Urethral Meatus: A Case Report

Mohamad El-Haress  1 , Wael Ghandour  2 , Marwan Bahmad  1   3 , Najla Fakhruddin  4   5 , Hussein Fawaz  2 , Hisham Bahmad  1
Affiliations
Case Reports

Giant Ureteral Fibroepithelial Polyp with Intermittent Prolapse Reaching the Urethral Meatus: A Case Report

Mohamad El-Haress et al. Urol Case Rep. .

Abstract

Ureteral fibroepithelial polyps (UFPs) are rare non-epithelial benign tumors of the urinary tract. Treatment of such cases ranges from conservative management to surgical resection of the polyp. Hereby, we present a rare case of a 37-year-old female patient with giant 14 cm UFP of the distal left ureter, successfully resected by ureteroscopic electrocauterization. Several cases of UFPs have been previously reported in world literature describing polyps extending into the bladder; yet, our case is the first to present a giant UFP that extends beyond the bladder cavity protruding outside the urethral meatus as a red fleshy mass.

Keywords: Case report; Cystoureteroscopy; Fibroepithelial polyp; Ureteral polyp.

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Figures

Figure 1
Figure 1
Timeline summarizing main events of the case.
Figure 2
Figure 2
Cystoureteroscopy revealing polypoid mass extending from the left ureterovesical junction (UVJ), and occupying the left ureteral lumen. (a, b) Polyp extending along the distal left ureter downwards. (c, d) Base of the polypoid stalk inside the distal left ureter. Red arrows indicate the ureteral fibroepithelial polyp (UFP).
Figure 3
Figure 3
(A) Histopathological examination of the polypoid fragments reveals soft pink tissue measuring in aggregate 2 × 0.8 × 0.5 cm and four fragments of soft tan tissue measuring 1 × 0.5 × 0.2 cm each. H&E staining (×100) shows fibroepithelioma of the distal ureter with some erosions and inflammation, but no dysplasia or malignancy. (B) Histopathological examination of the resected left ureteral polyp shows elongated soft pink tissue measuring 12 × 1 × 0.8 cm in maximum dimensions. The cut surface is soft pink and homogenous. H&E staining (×100) confirms the previous diagnosis of fibroepithelioma of the distal left ureter with no atypia or malignant parts.
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References

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