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Fibroepithelial polyps causing ureteropelvic junction obstruction in children--a case report and review article
E Cassar Delia1, V T Joseph, W Sherwood
1Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK. cassardelia@yahoo.com
Insights
Fibroepithelial polyps, rare benign tumors, can cause ureteropelvic junction (UPJ) obstruction in children. This study details a pediatric case and reviews similar instances, highlighting diagnostic and management considerations for this uncommon condition.
Area of Science:
- Pediatric Urology
- Pediatric Oncology
- Pediatric Pathology
Background:
- Fibroepithelial polyps are rare benign tumors originating from mesodermal tissue.
- These tumors can occur in the urinary tract, potentially leading to significant complications.
- Ureteropelvic junction (UPJ) obstruction is a critical concern in pediatric cases.
Observation:
- A 10-year-old boy presented with symptoms indicative of UPJ obstruction.
- Diagnostic imaging revealed a fibroepithelial polyp as the cause of the obstruction.
- This case represents a rare occurrence of this specific tumor type in a pediatric patient.
Findings:
- The case confirms fibroepithelial polyps as a cause of UPJ obstruction in children.
- A review of 28 similar published pediatric cases was conducted.
- Analysis of these cases provides insights into the clinical presentation and outcomes.
Implications:
- Early recognition and diagnosis of fibroepithelial polyps are crucial for timely intervention.
- Understanding the behavior of these benign tumors aids in appropriate management strategies.
- This collective data contributes to the limited literature on pediatric fibroepithelial polyps and UPJ obstruction.
Abstract:
Fibroepithelial polyps are extremely rare benign mesodermal tumours in children that can cause ureteropelvic junction (UPJ) obstruction. We report on a 10-year-old boy presenting with UPJ obstruction due to a fibroepithelial polyp, and review 28 similar published paediatric cases.
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