Korean J Radiol.  2012 Jun;13(3):355-357. 10.3348/kjr.2012.13.3.355.

Fibroepithelial Polyp of the Bronchus: CT and Histopathologic Findings

Affiliations
  • 1Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea. tskim.kim@samsung.com
  • 2Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.
  • 3Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

Abstract

A fibroepithelial polyp of the bronchus is a rare, benign, and endobronchial tumor, histologically consisting of fibrovascular stroma covered by normal respiratory epithelium. We report a case of a fibroepithelial polyp arising from the left main bronchus. On CT, a characteristic lobulating contour of the endobronchial nodule was well visualized, which histopathologically represented a typical papillary growth pattern of the nodule. Such a lobulating contour of the nodule might help make a correct diagnosis of this rare disease among other various endobronchial neoplasms.

Keyword

Fibroepithelial polyp; Bronchial-bronchus-computed tomography

MeSH Terms

Bronchial Neoplasms/pathology/*radiography
Bronchoscopy
Diagnosis, Differential
Humans
Male
Middle Aged
Neoplasms, Fibroepithelial/pathology/*radiography
Polyps/pathology/*radiography
*Tomography, X-Ray Computed

Figure

  • Fig. 1 CT and histopathologic findings of endobroncbial fibroepithelical polyp in 47-year-old male. A. Axial chest CT scan (5-mm collimation) of lung window setting obtained at level of left main bronchus showing intraluminal polypoid nodule with lobulating contour resembling blackberry (arrow). B. Photograph of bronchoscopic polypectomy specimen revealing well-circumscribed nodule showing lobulating contour with glossy surface, measuring 1.2 × 1.0 cm in diameter. C. Scanning photograph of sagittal section of polyp showing marked papillary projections of nodule (H & E stain, × 1). D. Low-power photomicrograph shows that polyp consists of fibrovascular stroma lined by normal respiratory epithelium (H & E stain, × 40).


Cited by  1 articles

Fibroepithelial Polyp on the Eyelid Margin: A Case Report
Da-Young Shin, Hee-Jung Yang, Ji-Sun Paik, Suk-Woo Yang
J Korean Ophthalmol Soc. 2017;58(2):213-215.    doi: 10.3341/jkos.2017.58.2.213.


Reference

1. Dinçer I, Demir A, Akin H, Melek H, Altin S. A giant endobronchial inflammatory polyp. Ann Thorac Surg. 2005. 80:2353–2356.
2. Wartmann CT, Fernandez D, Flores RM. Fibroepithelial polyps: preoperative diagnosis may avoid thoracotomy. J Thorac Cardiovasc Surg. 2007. 134:1080–1081.
3. Ushiki A, Yasuo M, Tanabe T, Urushihata K, Yamamoto H, Hanaoka M, et al. A rare case of a tracheal fibroepithelial polyp treated by an endobronchial resection. Intern Med. 2008. 47:1723–1726.
4. Amin PB, Baciewicz F. Benign fibroepithelial polyp arising in the bronchus: a case report and review of the literature. Arch Surg. 2009. 144:1081–1083.
5. Chou CP, Wu TT, Levenson RB, Huang JS, Pan HB. Ureteral fibroepithelial polyp diagnosed preoperatively on virtual CT ureteroscopy. Abdom Imaging. 2007. 32:421–423.
6. Turunc T, Kuzgunbay B, Canpolat T. Ureteral fibroepithelial polyps with calculi: a case series. J Med Case Reports. 2008. 2:280.
7. Wang ZJ, Meng MV, Yeh BM, Goldstein RB. Ureteral fibroepithelial polyp. J Ultrasound Med. 2008. 27:1647–1649.
8. Epstein JI, Amin MB, Reuter VE. Biopsy Interpretation of the Bladder. 2010. 2nd ed. Philadelphia: Lippincott Williams & Wilkins;287–288.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr