Raphael Avidime Attah, Usman Haruna
Department of Obstetrics and Gynecology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
Sir Sanusi Specialist Hospital, Kano, Nigeria.
J Obstet Gynaecol Can. 2017 Jul;39(7):564-566. doi: 10.1016/j.jogc.2017.02.008. Epub 2017 May 6.
Fibro-epithelial polyps are benign soft tissue lesions that occur in a wide variety of sites, including the lower female genital tract. They exhibit a wide range of morphologic appearances and can be misinterpreted as malignant. These polyps therefore pose adiagnostic challenge to both the clinician and the pathologist.
A 26-year-old woman presented with a bilateral labial mass; the mass on the right labium measured 32 × 29 cm and weighed 1.84 kg, and the mass on the left labium measured 10 × 8 cm in dimension and weighed 0.57 kg. They were polypoid lesions localized on the labia. The labial lesions were resected and sent for histology. The histologic findings were those of fibro-epithelial mass. The patient was followed up for 1 year without recurrence, and she is doing well.
Fibro-epithelial polyps usually pose a diagnostic dilemma to the physician and source of anxiety to the patient. A histologic diagnosis often necessary to confirm diagnosos and allay fear of malignant transformation of the mass.
纤维上皮性息肉是一种良性软组织病变,可发生于包括女性下生殖道在内的多种部位。它们呈现出广泛的形态学表现,可能被误诊为恶性肿瘤。因此,这些息肉给临床医生和病理学家都带来了诊断挑战。
一名26岁女性双侧阴唇出现肿物;右侧阴唇肿物大小为32×29厘米,重1.84千克,左侧阴唇肿物尺寸为10×8厘米,重0.57千克。它们是位于阴唇的息肉样病变。阴唇肿物被切除并送去做组织学检查。组织学检查结果为纤维上皮性肿物。患者接受了1年的随访,无复发,情况良好。
纤维上皮性息肉通常给医生带来诊断难题,并使患者感到焦虑。组织学诊断对于确诊和消除对肿物恶变的恐惧往往是必要的。