Difference between revisions of "Upper urinary tract fibroepithelial polyp"

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==General==
==General==
*Presentation may include: hematuria, flank pain, urinary frequency.<ref name=pmid25611262/>
*Presentation may include: hematuria, flank pain, urinary frequency.<ref name=pmid25611262/>
==Gross==
*Classically proximal ureter.<ref name=pmid26425226>{{cite journal |authors=Ludwig DJ, Buddingh KT, Kums JJ, Kropman RF, Roshani H, Hirdes WH |title=Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review |journal=Can Urol Assoc J |volume=9 |issue=9-10 |pages=E631–7 |date=2015 |pmid=26425226 |pmc=4581930 |doi=10.5489/cuaj.2878 |url=}}</ref>


==Microscopic==
==Microscopic==
Features:<ref name=pmid25611262/>
Features:<ref name=pmid25611262/>
*Polypoid lesion (epithelium on three sides in plane-of-section) covered unremarkable urothelium.
*Polypoid lesion (epithelium on three sides in plane-of-section) covered unremarkable urothelium.
==Sign out==
<pre>
A. Right Ureter, Lesion, Resection:
- Benign urothelial fibroepithelial polyp with focal hemosiderin.
- NEGATIVE for malignancy.
</pre>
===Micro===
The sections shows a polypoid lesion covered by a thin urothelium.  The urothelium has an unremarkable appearance; all of the following are absent: anisonucleosis, apparent proliferation, lack of maturation.  The core of the lesion is fibrous and edematous. Hemosiderin and siderophages are present.


==See also==
==See also==
Line 17: Line 30:


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Uropathology]]
[[Category:Urothelium]]

Latest revision as of 18:14, 23 September 2025

Upper urinary tract fibroepithelial polyp is a rare benign pathology of the upper urinary tract that can mimic malignancy.[1][2]

Ureteral fibroepithelial polyp redirects here.

General

  • Presentation may include: hematuria, flank pain, urinary frequency.[2]

Gross

  • Classically proximal ureter.[3]

Microscopic

Features:[2]

  • Polypoid lesion (epithelium on three sides in plane-of-section) covered unremarkable urothelium.

Sign out

A. Right Ureter, Lesion, Resection:
	- Benign urothelial fibroepithelial polyp with focal hemosiderin.
	- NEGATIVE for malignancy.

Micro

The sections shows a polypoid lesion covered by a thin urothelium. The urothelium has an unremarkable appearance; all of the following are absent: anisonucleosis, apparent proliferation, lack of maturation. The core of the lesion is fibrous and edematous. Hemosiderin and siderophages are present.

See also

References

  1. Wang ZJ, Meng MV, Yeh BM, Goldstein RB (November 2008). "Ureteral fibroepithelial polyp". J Ultrasound Med 27 (11): 1647–9. doi:10.7863/jum.2008.27.11.1647. PMC 2745550. PMID 18946106. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745550/.
  2. 2.0 2.1 2.2 Georgescu D, Mulţescu R, Geavlete BF, Geavlete P, Vrabie CD, Drăghici IM, Stănescu C, Enescu A (2014). "Fibroepithelial polyps - a rare pathology of the upper urinary tract". Rom J Morphol Embryol 55 (4): 1325–30. PMID 25611262.
  3. Ludwig DJ, Buddingh KT, Kums JJ, Kropman RF, Roshani H, Hirdes WH (2015). "Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review". Can Urol Assoc J 9 (9-10): E631–7. doi:10.5489/cuaj.2878. PMC 4581930. PMID 26425226. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581930/.