Giant vulvar epithelium-fibrous polypus: case report and literature review

Authors

  • Eduardo Borges Coscia FCMS/PUC-SP
  • Luiz Ferraz Sampaio Neto FCMS/PUC-SP
  • Maria Cecília Ferro FCMS/PUC-SP
  • Mayara Kato Perez FCMS/PUC-SP
  • Fabiana Garcia Faustino FCMS/PUC-SP
  • Rafaella Lemos Alves Ribeiro FCMS/PUC-SP

Keywords:

polyps, fibroepithelial neoplasms, vulvar neoplasms.

Abstract

ABSTRACT
Fibroepithelial polyp of the lower genital tract affects obese middle-aged women being more frequent in the vagina. They are much less common to be found in the vulva. They have a variable clinical presentation being mostly small with an average diameter of 1 cm to 2 cm, pedunculated and rarely achieving large dimensions. As for histological characteristics, they may be predominantly epithelial or primarily stromal, and are usually benign. We present the case of a 30-year old patient with the diagnosis of a giant fibroepithelial polyp of the vulva which gradually grew in size reaching 15 cm in its largest diameter. The diagnosis was confirmed after surgical resection and histological analysis of the lesion.

Downloads

Download data is not yet available.

Author Biographies

Eduardo Borges Coscia, FCMS/PUC-SP

Professor do Depto. de Cirurgia FCMS/PUC-SP

Luiz Ferraz Sampaio Neto, FCMS/PUC-SP

Professor do Depto. de Cirurgia FCMS/PUC-SP

Maria Cecília Ferro, FCMS/PUC-SP

Professora do Depto. de Morfologia e Anatomia FCMS/PUC-SP

Mayara Kato Perez, FCMS/PUC-SP

Acadêmica do curso de Medicina FCMS/PUC-SP

Fabiana Garcia Faustino, FCMS/PUC-SP

Acadêmica do curso de Medicina FCMS/PUC-SP

Rafaella Lemos Alves Ribeiro, FCMS/PUC-SP

Acadêmica do curso de Medicina FCMS/PUC-SP

References

Mihm MC, Murphy GF, Sellheyer K. A pele: tumores epiteliais benignos. In: Abbas AK, Fausto N, Kumar V, editores. Roobins & Cotran: patologia: bases patológicas das doenças. Rio de Janeiro: Elsevier; 2005. p. 1283-329.

Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshaw KD, Cunningham FG. Williams ginecologia. 1ª ed. Mexico: McGraw Hill; 2009. p. 95.

Wallach SJ. Approach to the giant acrochordon. Fem Pelvic Med Recons Surg. 2010;16(Suppl):S34.

Elliot GB, Elliot JDA. Superficial stromal reactions of lower genital tract. Arch Pathol. 1973;95:100-1.

Clement PB. Multinucleated stromal giant cells of the uterine cervix. Arch Pathol Lab Med. 1985;109:200-2.

Abdul-Karim FW, Cohen RE. Atypical stromal cells of lower female genital tract. Histopathology. 1990;17:249-53.

Halvorsen TB, Johannesen E. Fibroepithelial polyps of the vagina: are they old granulation tissue polyps? J Clin Pathol. 1992;45:235-40.

Rasi A, Arabshahi SR, Shahbazi N. Skin tag as a cutaneous marker for impaired carbohydrate metabolism: a case-control study. Int J Dermatol. 2007;46:1155-9.

Tamega A, Aranha AM, Guiotoku MM, Miot LD, Miot HA. Association between skin tags and insulin resistance. Ann Bras Dermatol. 2010;85:25-31.

Sari R, Akman A, Alpsoy E, Balci MK. The metabolic profile in patients with skin tags. Clin Exp Med. 2010;10(3):193-7.

Nucci MR, Fletcher CD. Fibroepithelial stromal polyps of vulvovaginal tissue: from the banal to the bizarre. Pathol Case Rev. 1998;3:151-7.

Nucci MR, Young RH, Fletcher CD. Cellular pseudosarcomatous fibroepithelial stromal polyps of the lower female genital tract: an underrecognized lesion often misdiagnosed as sarcoma. Am J Surg Pathol. 2000;24:231-40.

Lever WF. Tumors of fibrous tissue. In: Lever WF, Schaumburg–Lever G. Histopathology of the skin. 7th ed. Philadelphia: Lippincott; 1990. p. 664–5.

Wilkinson EJ, Stone IK. Atlas of vulvar disease. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. chap.7, p. 105-6.

Kaufman RH, Faro S. Benign disease of the vulva and vagina. 4th ed. Saint Louis: Mosby; 1994. p. 168.

Fu YS. Pathology of the uterus, cervix, vagina and vulva. 2nd ed. Philadelphia: Saunders; 2002. chap. 7, p. 232-4.

Nevada MH, Bhat PRB, Rao SV. Large fibroepithelial polyp of vulva: case report. Case Rep Dermatol Med. 2011;article Id273181.

Lopes Filho LL, Lopes IMRS, Gonçalves Neto TR, Lopes LRS. Fibroma mole gigante de localização vulvar: relato de caso. Surg Cosmet Dermatol. 2012; 4(2):200-2.

Martínez SB, Valencia CVO, Castellanos MMA, Camacho FJC. Pólipo fibroepitelial de la vulva (acrocordon) - presentación de un caso y revisión de la literatura. Arch Méd Actual Tracto Genit Inferior. 2011;III(4):5-8.

Published

2014-06-26

How to Cite

1.
Coscia EB, Sampaio Neto LF, Ferro MC, Perez MK, Faustino FG, Ribeiro RLA. Giant vulvar epithelium-fibrous polypus: case report and literature review. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2014Jun.26 [cited 2024Jul.20];16(2):96-8. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/13873

Issue

Section

Case Report