Urology Annals
About UA | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionLogin 
Urology Annals
  Editorial Board | Subscribe | Advertise | Contact
Users Online: 1070   Home Print this page  Email this page Small font size Default font size Increase font size


 
Table of Contents
CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 2  |  Page : 277-278  

Fibroepithelial vaginal polyp in a newborn


Division of Pediatric Urology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Date of Submission02-Nov-2014
Date of Acceptance05-Nov-2014
Date of Web Publication11-Mar-2015

Correspondence Address:
Dr. Abdulhakim A Alotay
P.O. Box 6510, 11942 Riyadh
Saudi Arabia
Login to access the Email id


DOI: 10.4103/0974-7796.152952

PMID: 25835034

Rights and Permissions
   Abstract 

A fibroepithelial polyp of the vagina (FEPV) is a mucosal polypoid lesion with a connective tissue core covered by a benign squamous epithelium. A vaginal polyp must be considered in the evaluation of interlabial masses in prepubertal girls. This article describes a newborn girl with an interlabial mass that the histological analysis revealed to be an FEPV. Surgical excision of the mass was performed, and the patient has not experienced recurrence after 1-year of follow-up. A review of the literature revealed that our case was the third reported case of a fibroepithelial polyp in a neonate.

Keywords: Infant, interlabial mass, polyp


How to cite this article:
Alotay AA, Sarhan O, Alghanbar M, Nakshabandi Z. Fibroepithelial vaginal polyp in a newborn. Urol Ann 2015;7:277-8

How to cite this URL:
Alotay AA, Sarhan O, Alghanbar M, Nakshabandi Z. Fibroepithelial vaginal polyp in a newborn. Urol Ann [serial online] 2015 [cited 2021 Sep 26];7:277-8. Available from: https://www.urologyannals.com/text.asp?2015/7/2/277/152952


   Introduction Top


An interlabial polyp in a newborn or infant girl is extremely rare. It may not only give rise to the impression of botryoid sarcoma, but it also may have bizarre histological features suggesting malignancy, compounding the clinical confusion. However still, a benign lesion is more common as was the case with our patient. To the best of our knowledge, this is only the third reported case with the same diagnosis.


   Case Report Top


A newborn girl was referred to our hospital because of a large vaginal mass discovered by a neonatologist. She was without any other systemic problems. She was born at 42 weeks through normal spontaneous vaginal delivery; the pregnancy had been uncomplicated, and there was no exposure to drugs, alcohol or infection. She is the fifth child for unrelated healthy parents, 40 and 37 years of age, and there is no history of malignancy in the family.

Physical examination revealed a 3 × 3 cm, firm, vaginal mass, originating from the midline of the anterior vaginal wall, with a large neck [Figure 1] and [Figure 2], a normal urethral opening, and a normal anal opening. The remainder of the examination was unremarkable.
Figure 1: Fibroepithelial polyp of the vagina in a newborn

Click here to view
Figure 2: Lateral view of the mass

Click here to view


Ultrasound imaging of the kidneys and pelvic organs showed an intact urogenital tract except for the 3 × 3 cm mass in the distal vagina without any invasion to the adjacent organs. Magnetic resonance imaging was also performed and showed the same findings.

After obtaining informed consent from both parents, cystoscopy and vaginoscopy was performed; this revealed a pedunculated vaginal mass originating from the midline point in the anterior vaginal wall (distal third) with otherwise normal cystoscopy and vaginoscopy findings. Surgical excision of the mass was performed with a 3 mm margin around the base.

The postoperative period was uneventful. The histopathology results revealed squamous mucosa consistent with a fibroepithelial polyp, which showed no signs of malignancy. After follow-up of 1-year (to date of writing), the patient has shown no evidence of recurrence.


   Discussion Top


Vaginal polyps are usually detected on medical examination after birth or are observed by the family. Diagnosis is usually difficult unless surgical resection and pathologic examination are done properly.

A fibroepithelial polyp of the vagina (FEPV) is a mucosal polypoid lesion with a connective tissue core covered by a benign squamous epithelium; [1] FEPV is extremely uncommon before menarche and after menopause. [2]

After reviewing the literature, we found that our case is the third reported case of a fibroepithelial polyp in a neonate. In 1990, Pul et al. reported the case of a neonate with a fibroepithelial vaginal polyp. [3] Jallouli et al. reported the second case of a fibroepithelial polyp in a newborn. [4]

A vaginal polyp must be considered in the evaluation of interlabial masses in prepubertal girls. [4] If diagnosed as an FEPV, the treatment is simple excision; recurrence is extremely uncommon. [5] Although the recurrence after incomplete excision has been reported, [2] it is a benign lesion; there are no reports of malignant transformation. [4]


   Conclusion Top


A fibroepithelial polyp should be included in the differential diagnosis of an interlabial mass in a newborn. Although it is benign and rarely recurs, it should be excised completely, and a long follow-up is suggested as it may recur at any age.

 
   References Top

1.
Halvorsen TB, Johannesen E. Fibroepithelial polyps of the vagina: Are they old granulation tissue polyps? J Clin Pathol 1992;45:235-40.  Back to cited text no. 1
    
2.
Sharma S, Albertazzi P, Richmond I. Vaginal polyps and hormones - Is there a link? A case series. Maturitas 2006;53:351-5.  Back to cited text no. 2
    
3.
Pul M, Yilmaz N, Gürses N, Ozoran Y. Vaginal polyp in a newborn - A case report and review of the literature. Clin Pediatr (Phila) 1990;29:346.  Back to cited text no. 3
    
4.
Jallouli M, Trigui L, Gargouri A, Mhiri R. Vaginal polyp in a newborn. Eur J Pediatr 2008;167:599-600.  Back to cited text no. 4
    
5.
Burt RL, Prichard RW, Kim BS. Fibroepithelial polyp of the vagina. A report of five cases. Obstet Gynecol 1976;47:52S-4.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    Abstract
   Introduction
   Case Report
   Discussion
   Conclusion
    References
    Article Figures

 Article Access Statistics
    Viewed6673    
    Printed58    
    Emailed0    
    PDF Downloaded261    
    Comments [Add]    

Recommend this journal