Song Joon Seon, Song Dong Eun, Kim Kyu-Rae, Ro Jae Y
Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Pathol. 2012 Oct;46(5):494-8. doi: 10.4132/KoreanJPathol.2012.46.5.494. Epub 2012 Oct 25.
Fibroepithelial stromal polyp (FSP) is a benign lesion that can occur at various sites, including the lower female genital tract. In rare cases, however, it may exhibit hypercellularity, bizarre cytomorphological features, and atypical mitoses resulting in an overdiagnosis as a malignant tumor despite its benign clinical course. Recently, we experienced one case of a 30-year-old pregnant woman with cellular pseudosarcomatous FSP that was initially diagnosed as a malignant fibrous histiocytoma at a primary clinic. In addition to describing the rare features of this case, we wish to increase awareness about this benign lesion which will be essential for avoiding unnecessary radical surgery or chemoradiation treatment.
纤维上皮性间质息肉(FSP)是一种良性病变,可发生于包括女性下生殖道在内的多个部位。然而,在罕见情况下,它可能表现为细胞增多、奇异的细胞形态特征和非典型有丝分裂,尽管其临床过程为良性,但仍可能被过度诊断为恶性肿瘤。最近,我们遇到一例30岁的孕妇,其患有细胞性假肉瘤样FSP,最初在一家基层诊所被诊断为恶性纤维组织细胞瘤。除了描述该病例的罕见特征外,我们还希望提高对这种良性病变的认识,这对于避免不必要的根治性手术或放化疗至关重要。