Korean J Pathol.  2012 Oct;46(5):494-498.

Cellular Pseudosarcomatous Fibroepithelial Stromal Polyp of the Vagina during Pregnancy: A Lesion That Is Overdiagnosed as a Malignant Tumor

Affiliations
  • 1Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. krkim@amc.seoul.kr
  • 2Department of Pathology, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA.

Abstract

Fibroepithelial stromal polyp (FSP) is a benign lesion that can occur at various sites, including the lower female genital tract. In rare cases, however, it may exhibit hypercellularity, bizarre cytomorphological features, and atypical mitoses resulting in an overdiagnosis as a malignant tumor despite its benign clinical course. Recently, we experienced one case of a 30-year-old pregnant woman with cellular pseudosarcomatous FSP that was initially diagnosed as a malignant fibrous histiocytoma at a primary clinic. In addition to describing the rare features of this case, we wish to increase awareness about this benign lesion which will be essential for avoiding unnecessary radical surgery or chemoradiation treatment.

Keyword

Fibroepithelial polyp; Vagina; Pregnancy

MeSH Terms

Adult
Female
Histiocytoma, Malignant Fibrous
Humans
Mitosis
Polyps
Pregnancy
Pregnant Women
Vagina
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