Ureteral fibroepithelial polyps in a pregnant woman
case report
Keywords:
Laparotomy, Neoplasms, Pregnant women, Ureter, UrologyAbstract
CONTEXT: Ureteral fibroepithelial polyps are rare benign nonepithelial tumors, and less than 200 cases have been reported in the literature. We report on a pregnant patient with ureteral fibroepithelial polyps that were successfully treated with laparotomy. CASE REPORT: A 23-year-old pregnant woman presented with a three-month history of intermittent lumbar pain of low intensity. Abdominal ultrasonography showed that she was 13 weeks pregnant and found severe left-side ureterohydronephrosis and a heterogeneous solid mass measuring 11 x 8 x 7 centimeters in the middle portion of the ureteral topography. The investigation was complemented with magnetic resonance imaging, which confirmed the previous findings. Nephroureterectomy was performed without complications. The specimen revealed three solid tumors in the ureter, of which the largest was around eight centimeters in length. The anatomopathological report confirmed that they were fibroepithelial tumors without malignant components.
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References
Faerber GJ, Ahmed MM, Marcovich R, Crisco CP, Belville WD. Contemporary diagnosis and treatment of fibroepithelial ureteral polyp. J Endourol. 1997;11(5):349-51.
Lam JS, Bingham JB, Gupta M. Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter. Urology. 2003;62(5):810-3.
Carey RI, Bird VG. Endoscopic management of 10 separate fibroepithelial polyps arising in a single ureter. Urology. 2006;67(2):413-5.
Bellin MF, Springer O, Mourey-Gerosa I, et al. CT diagnosis of ureteral fibroepithelial polyps. Eur Radiol. 2002;12(1):125-8.
Kijvikai K, Maynes LJ, Herrell SD. Laparoscopic management of large ureteral fibroepithelial polyp. Urology. 2007;70(2):373.e4-7.
