Kumar Anil, Hasin Nadia, Sinha Amit Kumar, Kumar Subhash, Bhadani Punam
Department of surgery, All India Institute of Medical Sciences, Patna, India.
Department of Surgery, Katihar Medical College, India.
Int J Surg Case Rep. 2017;38:83-85. doi: 10.1016/j.ijscr.2017.06.059. Epub 2017 Jul 15.
Fibro epithelial Polyp (FEP) is a polypoid outgrowth of epidermis and dermal fibro vascular tissue. This polyp is most commonly found in oral cavity, neck and axilla, though any skin fold may be affected like groin. These polyps are usually less than 5cm in size and rarely occur before 4th decade of life. Excision is the treatment of choice for such lesion.
A 20year old female patient presented with a large pedunculated mass originating from the left groin area extending up to the left knee joint. It measured 42cm in diameter. Surgical excision with primary closure was performed. We present this case because of its size and its occurrence at early age.
In this case, a mass of 42×22×10cm in a 20years female has been described. This mass was diagnosed as a giant FEP, which is the largest size FEP reported, to the best of our knowledge. FEP usually occurs in females of reproductive age group but in the present case it occurred in a 20years old female. Various other lesions like leiomyomas, superficial angiomyxoma and neurofibroma mimic FEP. Complete excision with long term follow-up is the best option in such patient.
Giant FEP is a benign lesion, sometimes it may be misdiagnosed as malignant lesion because of its larger size and occurrence in early age. Hence excisional biopsy is important to confirm the diagnosis.
纤维上皮性息肉（FEP）是表皮和真皮纤维血管组织的息肉样增生。这种息肉最常见于口腔、颈部和腋窝，不过任何皮肤褶皱处如腹股沟都可能受累。这些息肉通常大小小于5厘米，很少在40岁之前出现。切除是这类病变的首选治疗方法。
一名20岁女性患者，左侧腹股沟区出现一个带蒂的大肿物，向上延伸至左膝关节。肿物直径42厘米。进行了手术切除并一期缝合。我们展示此病例是因其大小以及发病年龄早。
在本病例中，描述了一名20岁女性身上一个大小为42×22×10厘米的肿物。该肿物被诊断为巨大FEP，据我们所知，这是报道的最大尺寸的FEP。FEP通常发生在育龄期女性，但本病例发生在一名20岁女性身上。其他各种病变如平滑肌瘤、浅表血管黏液瘤和神经纤维瘤可模仿FEP。对于此类患者，完整切除并长期随访是最佳选择。
巨大FEP是一种良性病变，有时因其尺寸较大且发病年龄早，可能被误诊为恶性病变。因此，切除活检对于确诊很重要。
