Rare Fibroepithelial Polyp Extending Along the Ureter: A Case Report

Yıl 2018, Cilt: 35 Sayı: 3, 275 - 277, 01.05.2018

Hakan Akdere Gökhan Çevik

Öz

Background: Fibroepithelial polyps of the urinary tract are rare
tumors, and their occurrence in the upper urinary tract is highly
unusual.
Case Report: This study reports a 9-year-old boy who presented to
our clinic with complaints of unilateral flank pain and macroscopic
hematuria. The direct urinary system graph did not show stone
formation; therefore, magnetic resonance urography was performed.
This revealed a filling defect in the left proximal ureter. On cystoscopy,
a polyp was seen in the orifice of the left ureter, extending along the
ureter. The polyp was resected by laser ablation and removed from the
ureter. Histopathologic examination revealed a fibroepithelial polyp
comprising fibrovascular stroma covered with transitional epithelium.
Conclusion: Although extremely rare, a fibroepithelial polyp should
be considered in the differential diagnosis when a young patient
presents with flank pain and macroscopic hematuria. Endoscopic
procedures may be the treatment of choice for polyps located in the
upper ureter

Anahtar Kelimeler

Children, fibroepithelial, polyps, urinary tract

Kaynakça

• 1. Lam JS, Bingham JB, Gupta M. Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter. Urology 2003;62:810-3.
• 2. Bhalla RS, Schulsinger DA, Wasnick RJ. Treatment of bilateral fibroepithelial polyps in a child. J Endourol 2002;16:581-2.
• 3. Oğuzkurt P, Oz S, Oğuzkurt L, Kayaselçuk F, Tercan F. An unusual cause of complete distal ureteral obstruction: giant fibroepithelial polyp. J Pediatr Surg 2004;39:1733-4.
• 4. Güneş M, Keleş MO, Koca OM, Yılmaz Ö, Kaya C. Bilateral üreter obstrüksiyonunun nadir bir sebebi: Fibroepitelyal polip. Marmara Med J 2010;23;382-5.
• 5. Carey RI, Bird VG. Endoscopic management of 10 separate fibroepithelial polyps arising in a single ureter. Urology 2006;67:413-5.
• 6. Li R, Lightfoot M, Alsyouf M, Nicolay L, Baldwin D, Chamberli DA. Diagnosis and management of ureteral fibroepithelialpolyps in children: A new treatment algorithm. J Pediatr Urol 2015;11:22.
• 7. Kijvikai K, Maynes LJ, Herrell SD. Laparoscopic management of large ureteral fibroepithelial polyp. Urology 2007;70:373.
• 8. Cai Y, Zhang Z, Yue X. Rare giant primary ureteral polyp: A case report and literature review. Mol Clin Oncol 2017;6:327-30.
• 9. Arda MS, İlhan H, Kara T, Arık D, Tokar B. Laparoscopic Approach to a Rare Cause of Ureteropelvic Junction Obstruction in a Child: Ureteral Polyp. Eur J Pediatr Surg Rep 2015;3:78-81.