A Case Report of a Rare Huge Ureteral Fibroepithelial Polyp: Challenges and Clinical Management
,
Abstract
Ureteral fibroepithelial polyps (UFPs) are rare abnormality that may cause ureteral obstruction. Herein, we report a 35- year- old woman with flank pain, dysuria, frequency and transient total gross hematuria. A mass in the right ureter was reported on imaging and in endoscopic evaluation, small polypoid mass protruding from the right ureteral orifice in the bladder, and a huge ureteral mass originating from proximal ureter was observed. A right subcostal flank incision was done, a huge polypoid mass with a segment of ureteral was excised, and end-to-end anastomosis of the ureter was done. Histopathological examination showed a UFP without malignancy.
[1] Bellin M-F, Springer O, Mourey-Gerosa I, Coumbaras J, Chartier-Kastler E, Delcourt A, et al. CT diagnosis of ureteral fibroepithelial polyps. European radiology. 2002;12(1):125-8. https://doi.org/10.1007/s003300100933
[2] Chaker K. Benign fibroepithelial polyp of the ureter: A case report. Urology case reports. 2019;22:15. https://doi.org/10.1016/j.eucr.2018.09.021
[3] Cai Y, Zhang Z, Yue X. Rare giant primary ureteral polyp: A case report and literature review. Molecular and Clinical Oncology. 2017;6(3):327-30. https://doi.org/10.3892/mco.2017.1146
[4] Wang H, Ma C, Wu J, Zhao F, Zou Y, Zhang W, et al. Clinico- pathologic features of the ureteral neuroendocrine tumors. Pathology-Research and Practice. 2020;216(2):152788. https://doi.org/10.1016/j.prp.2019.152788
[5] Vatansever M, Dinç E, Dursun Ö, Oktay ÖÖ, Arpaci R. Atypical presentation of fibroepithelial polyp: a report of two cases. Arquivos brasileiros de oftalmologia. 2019;82(3):239-41. https://doi.org/10.5935/0004-2749.20190050
[6] Chang HH, Ray P, Ockuly E, Guinan P. Benign fibrous ureteral polyps. Urology. 1987;30(2):114-8. https://doi.org/10.1016/0090-4295(87)90174-9
[7] Kaba M, Kaba S, Kaya TY, Eren H, Pirinççi N. A giant pedunculated urothelial polyp mimicking bladder mass in a child: a rare case. Case Reports in Pediatrics. 2014;2014. https://doi.org/10.1155/2014/935850
[8] Ludwig DJ, Buddingh KT, Kums JJ, Kropman RF, Roshani H, Hirdes WH. Treatment and outcome of fibroepithelial ureteral polyps: a systematic literature review. Canadian Urological Association Journal. 2015;9(9-10):E631. https://doi.org/10.5489/cuaj.2878
[9] Li R, Lightfoot M, Alsyouf M, Nicolay L, Baldwin D, Chamberlin D. Diagnosis and management of ureteral fibroepithelial polyps in children: A new treatment algorithm. Journal of pediatric urology. 2015;11(1):22. e1-. e6. https://doi.org/10.1016/j.jpurol.2014.08.004
[10] Liu C, Liu X-J, Liu D, Yao D-W. A giant ureteral polyp mimicking as a bladder mass resected ureteroscopically by diode laser: a case report and literature review. International journal of clinical and experimental pathology. 2015;8(11):14580. PMID: 26823781
[11] Hubosky SG, Bagley DH. Laser Resection of Fibroepithelial Polyps with Digital Ureteroscopy. Journal of Endourology Case Reports. 2015;1(1):36-8. https://doi.org/10.1089/cren.2015.29014.sgh
[12] Kijvikai K, Maynes LJ, Herrell SD. Laparoscopic management of large ureteral fibroepithelial polyp. Urology. 2007;70(2):373. e5-. e8. https://doi.org/10.1016/j.urology.2007.05.011
[2] Chaker K. Benign fibroepithelial polyp of the ureter: A case report. Urology case reports. 2019;22:15. https://doi.org/10.1016/j.eucr.2018.09.021
[3] Cai Y, Zhang Z, Yue X. Rare giant primary ureteral polyp: A case report and literature review. Molecular and Clinical Oncology. 2017;6(3):327-30. https://doi.org/10.3892/mco.2017.1146
[4] Wang H, Ma C, Wu J, Zhao F, Zou Y, Zhang W, et al. Clinico- pathologic features of the ureteral neuroendocrine tumors. Pathology-Research and Practice. 2020;216(2):152788. https://doi.org/10.1016/j.prp.2019.152788
[5] Vatansever M, Dinç E, Dursun Ö, Oktay ÖÖ, Arpaci R. Atypical presentation of fibroepithelial polyp: a report of two cases. Arquivos brasileiros de oftalmologia. 2019;82(3):239-41. https://doi.org/10.5935/0004-2749.20190050
[6] Chang HH, Ray P, Ockuly E, Guinan P. Benign fibrous ureteral polyps. Urology. 1987;30(2):114-8. https://doi.org/10.1016/0090-4295(87)90174-9
[7] Kaba M, Kaba S, Kaya TY, Eren H, Pirinççi N. A giant pedunculated urothelial polyp mimicking bladder mass in a child: a rare case. Case Reports in Pediatrics. 2014;2014. https://doi.org/10.1155/2014/935850
[8] Ludwig DJ, Buddingh KT, Kums JJ, Kropman RF, Roshani H, Hirdes WH. Treatment and outcome of fibroepithelial ureteral polyps: a systematic literature review. Canadian Urological Association Journal. 2015;9(9-10):E631. https://doi.org/10.5489/cuaj.2878
[9] Li R, Lightfoot M, Alsyouf M, Nicolay L, Baldwin D, Chamberlin D. Diagnosis and management of ureteral fibroepithelial polyps in children: A new treatment algorithm. Journal of pediatric urology. 2015;11(1):22. e1-. e6. https://doi.org/10.1016/j.jpurol.2014.08.004
[10] Liu C, Liu X-J, Liu D, Yao D-W. A giant ureteral polyp mimicking as a bladder mass resected ureteroscopically by diode laser: a case report and literature review. International journal of clinical and experimental pathology. 2015;8(11):14580. PMID: 26823781
[11] Hubosky SG, Bagley DH. Laser Resection of Fibroepithelial Polyps with Digital Ureteroscopy. Journal of Endourology Case Reports. 2015;1(1):36-8. https://doi.org/10.1089/cren.2015.29014.sgh
[12] Kijvikai K, Maynes LJ, Herrell SD. Laparoscopic management of large ureteral fibroepithelial polyp. Urology. 2007;70(2):373. e5-. e8. https://doi.org/10.1016/j.urology.2007.05.011
| Files | ||
| Issue | Vol 7 No 2 (2022): March-April | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i2.10822 | |
| Keywords | ||
| Ureteral polyps Ureter Fibro-epithelial polyps Open surgery | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Akhavan Rezayat A, Yarahmadi A, Aghaee A, Zeynali F, Soltani S. A Case Report of a Rare Huge Ureteral Fibroepithelial Polyp: Challenges and Clinical Management. CRCP. 2022;7(2):75-78.
