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Ureteral fibroepithelial polyp: A diagnostic challenge.
Raj A Kumar1, Michael Maidaa2, Jon Frankel3
1Catherine & Joseph Aresty Department of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Urology Case Reports
|November 25, 2021
Summary
Ureteral fibroepithelial polyps (UFPs) are rare benign tumors. This case highlights diagnostic challenges with imaging, emphasizing cystoscopy and ureteroscopy for diagnosis and treatment.
Area of Science:
- Urology
- Oncology
Background:
- Ureteral fibroepithelial polyps (UFPs) are uncommon benign neoplasms of the ureter.
- Documented cases between 1932 and 2013 total 236, indicating rarity.
Observation:
- A patient presented with hematuria, a common symptom prompting investigation.
- Computerized tomography (CT) suggested a 1.8 cm mass, but magnetic resonance imaging (MRI) yielded negative results.
- Cystoscopy revealed a polyp prolapsing from the left ureter into the bladder during peristalsis.
Findings:
- The diagnostic imaging (CT and MRI) was inconclusive for the ureteral mass.
- Cystoscopic and subsequent ureteroscopic visualization confirmed the polyp's presence and location.
- Retrograde ureteroscopy with holmium laser excision successfully treated the UFP.
Implications:
- This case underscores the limitations of standard imaging modalities in diagnosing UFPs.
- It highlights the diagnostic and therapeutic utility of cystoscopy and ureteroscopy for UFPs.
- Effective management of UFPs can be achieved through minimally invasive endoscopic techniques.
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