Korean J Gastrointest Endosc.  2005 Jan;30(1):43-46.

A Case of Huge Anal Fibroepithelial Polyp with HemorrhoidsMisdiagnosed as Anal Cancer

Affiliations
  • 1Department of Internal Medicine, Maryknoll Hospital, Busan, Korea. samboki3@nate.com
  • 2Department of Pathology, Maryknoll Hospital, Busan, Korea.

Abstract

The anal fibroepithelial polyps are well-known polypoid conditions histologically consisting of connective tissue response resulting from local irritation, which is closely associated with hemorrhoids. As previously reported, the size of the polyps ranged from 3 to 19 mm, average 9 mm. A 60-year-old women was admitted complaining of anal bleeding and constipation. Colonoscopy revealed a 3.0 2.5 cm sized, subpedunculated polyp on the dendate line. We removed the polyp by per anal local excision due to its hard stalk after failure of colonoscopic removal. The histologic examination was showed mature stratified squamous epithelium with hyalinized vascular changes. We report a case of huge and hard anal fibroepithelial polyp with hemorroids misdignosed as cancer.

Keyword

Anus; Fibroepithelial polyp; Hemorrhoids
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