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[Fibroepithelial polyps of the upper urinary tract: their diagnostic evaluation and treatment in pediatrics]
M J Mora Durbán1, J M Díez Rodríguez, J I García González
1Servicios de Urología y Anatomía Patológica, Hospital de Móstoles, Móstoles, Madrid, España.
Insights
Pediatric upper urinary tract polyps require careful evaluation. Complete surgical resection offers better outcomes than simple polyp excision for these rare tumors.
Area of Science:
- Pediatric Urology
- Uropathology
- Surgical Oncology
Background:
- Ureteral and renal pelvic polyps are rare in pediatric patients.
- Fibroepithelial polyps represent a significant portion of these lesions.
- Accurate diagnosis is crucial for appropriate management.
Observation:
- A case of a pediatric patient with a presumed benign upper tract polyp is presented.
- Diagnostic workup included cytological and radiological assessments.
- Surgical intervention involved partial pyeloureteral resection.
Findings:
- Histological analysis confirmed the polyp as a benign fibroepithelial polyp.
- The study reviewed diagnostic criteria and histological patterns.
- Benign and malignant polyp characteristics were analyzed.
Implications:
- Thorough preoperative evaluation is essential for surgical planning.
- Identifying the lesion's base guides the surgical approach.
- Complete segmental resection with reanastomosis is preferred over simple excision for optimal results.
Objective:
To establish the diagnostic criteria, analyze the histological patterns of benign and malignant ureteral and renal pelvic polyps in pediatric patients and discuss the best treatment option based on the final diagnosis.
Methods/Results:
The literature is reviewed with special reference to the diagnostic and therapeutic aspects of fibroepithelial polyps of the upper urinary tract in pediatric patients. An additional case with benign cytological and radiological findings is described. The patient underwent partial pyeloureteral resection. Histological analysis of the surgical specimen confirmed a fibroepithelial polyp.
Conclusions:
We emphasize the importance of adequate preoperative evaluation, precise identification of the base of the lesion for a correct choice of the surgical approach, and the advantages of complete segmental resection and reanastomosis over simple excision of the polyp.