Fibroepithelial Stromal Polyp



Fibroepithelial Stromal Polyp


Elizabeth A. Montgomery, MD









Fibroepithelial stromal polyps are typically edematous at low magnification, with overlying reactive epithelial changes. Note that the lesion abuts the overlying epithelium without a Grenz zone.






At high magnification, most fibroepithelial stromal polyps consist of bland-appearing stellate to spindle cells in an edematous background with scattered inflammatory cells image.


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

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Jul 9, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Fibroepithelial Stromal Polyp
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