An Endobronchial Fibroepithelial Polyp Treated by Bronchoscopic Excision

내시경적 절제로 완치된 기관지내 섬유상피성 용종 1예

  • Kang, Ji Young (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kang, Ji Ho (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Jeon, Youn Joo (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Cho, Keun Jong (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Eui Hyung (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Kwan Hyoung (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Song, Jeong Sup (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Park, Sung Hak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Min, Ki Ouk (Department of Clinical Pathology, The Catholic University of Korea, College of Medicine)
  • 강지영 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지호 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 전연주 (가톨릭대학교 의과대학 내과학교실) ;
  • 조근종 (가톨릭대학교 의과대학 내과학교실) ;
  • 김의형 (가톨릭대학교 의과대학 내과학교실) ;
  • 김관형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실) ;
  • 민기옥 (가톨릭대학교 의과대학 임상병리과학교실)
  • Received : 2005.09.05
  • Accepted : 2005.10.07
  • Published : 2005.12.30

Abstract

An 81-year-old man underwent bronchoscopy to investigate the cause of his dyspnea symptoms. A benign natured mass was observed in the bronchus and was excised. The pathology examination revealed a fibroepithelial polyp. He has been asymptomatic since the simple bronchoscopic excision. A fibroepithelial polyp is a benign tumor with a mesodermal origin. It is commonly found in the skin, urogenital area and chest, but is extremely rare in the respiratory system. We report a case of a fibroepithelial polyp in the bronchus, which was treated with a bronchoscopic excision, with a brief review of the relevant literature.

섬유상피성 용종은 중배엽성 기원의 양성 종양으로, 기관지 내에 생기는 경우는 매우 드물다. 또한 이 종괴는 악성화 가능성이 거의 없어, 최소한의 내시경적 절제술이 치료법으로 추천된다. 기관지내 종괴의 감별 진단에 양성의 섬유상피성 용종이 포함될 수 있음을 염두에 두어 불필요한 외과적 광범위 절제를 방지해야겠다.

Keywords

References

  1. Mangar W, Jiang D, Llyod RV. Acute presentation of a fibroepithelial pharyngeal polyp. J Laryngol Otol 2004;118:727-9
  2. Rowlands DT Jr. Fibroepithelial polyps of the bronchus: acase report and review of the literature. Dis Chest 1960;37:199-202 https://doi.org/10.1378/chest.37.2.199
  3. Kim Y, Lee CY, Hwang SJ, Choi JP, Kim HJ, Ahn CM, et al. A case of endobronchial fibroepithelial polyp. Tuberc Respir Dis 2001;51:609-14 https://doi.org/10.4046/trd.2001.51.6.609
  4. Oguzkurt BP, Oz S, Oguzkurt L, Kayaselcuk F, Tercan F. An unusual cause of complete distal ureteral obstruction: giant fibroepithelial polyp. J Pediatr Surg 2004;39:1733-4 https://doi.org/10.1016/j.jpedsurg.2004.07.023
  5. Halvorsen TB, Johannesen E. Fibroepithelial polyps of the vagina: are they old granulation tissue polyps? J Clin Pathol 1992;45:235-40 https://doi.org/10.1136/jcp.45.3.235
  6. Groisman GM, Polak-Charcon S. Fibroepithelial polyps of the anus. Am J Surg Pathol 1998;22:70-6 https://doi.org/10.1097/00000478-199801000-00009
  7. Rollason TP, Byrne P, Williams A. Immunohistochemical and electron microscopic findings in benign fibroeithelial vaginal polyps. J Clin Pathol 1990;43:224-9 https://doi.org/10.1136/jcp.43.3.224
  8. Sakai Y, Matsukuma S. CD 34+ stromal cells and hyalinized vascular changes in the anal fibroepithelial polyps. Histopathology 2002;41:230-5 https://doi.org/10.1046/j.1365-2559.2002.01428.x
  9. Lloyd S, Lloyd J, Dhillon R. Chondroid metaplasia in a fibroepithelial polyp of the tongue. J Laryngol Otol 2001;115:681-2
  10. Eads TJ, Chang TY, Fabre VC, Farmer ER, Hood AF. The utility of submitting fibroepithelial polyps of histological examination. Arch Dermatol 1996;132:1459-62 https://doi.org/10.1001/archderm.132.12.1459
  11. Brodell RT, Pokorney DR.Fibroepithelial polyps and pathologic evaluation. Arch Dermatol 1997;133:915-6 https://doi.org/10.1001/archderm.133.7.915
  12. Yagi S, Kawano Y, Gotanda T, Kitagawa T, Kawahara M, Nakagawa M, et al. Endoscopic treatment of a long fibroepithelial ureteral polyp. Int J Urol 2001;8:467-9 https://doi.org/10.1046/j.1442-2042.2001.00343.x