Fibroepithelial Stromal Polyp
Elizabeth A. Montgomery, MD
Key Facts
Clinical Issues
-
Polypoid lesions presenting in vagina or vulva
-
Possible relationship to hormonal factors
-
Simple excision; occasional recurrences, especially with subsequent pregnancies
Microscopic Pathology
-
Coating of unremarkable or hyperplastic squamous mucosa
-
No Grenz zone between lesion and overlying mucosa/skin
-
Spindle to stellate cells
-
Tapering cytoplasmic processes
-
Multinucleation and nuclear enlargement common
-
Multinucleate cell with wreath-like appearance
-
Fibrous, edematous, or myxoid stroma
-
Can be highly cellular, mimicking sarcomas (often in pregnancy)
TERMINOLOGY
Abbreviations
-
Fibroepithelial stromal polyp (FSP)
Synonyms
-
Cellular pseudosarcomatous fibroepithelial stromal polyp, pseudosarcoma botryoides
Definitions
-
Benign polyps, usually involving vagina of women of reproductive age, composed of fibroblastic cells in edematous stroma
CLINICAL ISSUES
Epidemiology
-
Incidence
-
Relatively common
-
-
Age
-
Reproductive years
-
-
Gender
-
Women
-
Presentation
-
Polypoid lesions presenting in vagina or vulva
-
Possible relationship to hormonal factors
-
Discovered in antenatal examinations
-
Some regress in puerperium
-
Association with hormone usage
-
Treatment
-
Simple excision

Stay updated, free articles. Join our Telegram channel

Full access? Get Clinical Tree

