Fibroepithelial Polyp Case Study
LARGE FIBROEPITHELIAL POLYP OF VULVA – A CASE REPORT AND LITERATURE REVIEW
ABSTRACT: Fibroepithelial polyp (FEP) is a flesh-colored pedunculated skin tag which has a predilection for axilla, neck, groin, eyelids and beneath breasts. This benign mesenchymal skin lesion is relatively uncommon in female genital tract. When seen in the female genital tract, it is usually observed in vagina. Vulvar cases are rare. Large vulvar cases are very rare. We present a 39 year old female patient who presented to the dermatology outpatient clinic with a slowly and continuously growing vulvar swelling. Physical examination revealed a pedunculated mass on the surface of right labium majoris which had a diameter of approximately 6 cm. The patient was referred to the gynaecology outpatient clinic. The mas was excised under general anesthesia and histopathologic examination was performed yielding the diagnosis of FEP. This case is rare with its uncommon size and location.
VULVADA BÜYÜK FİBROEPİTELYAL POLİP - OLGU SUNUMU VE LİTERATÜR İNCELEMESİ
ÖZET: Fibroepitelyal polip (FEP), aksilla, boyun, bacak arası, gözkapağı ve memelerin alt kısmında görülme
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Frequent irritation seems to be another important etiologic factor of these skin tags, especially in obese patients, as our patient. According to another opinion, FEPs raise on the aging skin, with many factors responsible for their development (4). There are several studies which reveal that the vaginal FEPs are associated with external hormone usage and pregnancy. Larger vaginal lesions are observed to arise from the proliferation of mesenchymal cells within the hormonally sensitive subepithelial stromal layer of the lower genital tract. Hence, hormonal imbalances (e.g, high levels of estrogen and progesterone during pregnancy and external hormone usage) may facilitate the development of FEPs (4,7). Our patient did not have a history of external hormone
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