A bronchial fibroepithelial polyp with abnormal findings on auto-fluorescence imaging

Saito, Naomi; Yamasaki, Masahiro; Daido, Wakako; Ishiyama, Sayaka; Deguchi, Naoko; Taniwaki, Masanori

doi:10.1002/rcr2.244

Cited by 3 publications

(7 citation statements)

References 5 publications

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“…Saito et al described a 65-year-old man, who was diagnosed with a bronchial fibroepithelial polyp of the right basal bronchus and underwent bronchoscopic examination, with a videobronchoscope that incorporates two devices for white-light (WL) mode and auto-fluorescence imaging (AFI). Bronchoscopy under WL mode revealed a rounded, whitish, smooth, and glistening polypoid lesion with a lobulated surface and on AFI, the lesion appeared magenta colour (positivity) [15]. The authors of this case concluded that bronchial fibroepithelial polyps may display AFI positivity and the right diagnosis should not be confused by this positivity [15].…”

Section: Discussionmentioning

confidence: 74%

“…Bronchoscopy under WL mode revealed a rounded, whitish, smooth, and glistening polypoid lesion with a lobulated surface and on AFI, the lesion appeared magenta colour (positivity) [ 15 ]. The authors of this case concluded that bronchial fibroepithelial polyps may display AFI positivity and the right diagnosis should not be confused by this positivity [ 15 ]. Desai and Bernstein described a 58-year-old male with an endobronchial lesion in the left lower lobe bronchus in bronchoscopy [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

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Bronchial Fibroepithelial Polyp With Severe Hemoptysis as First Manifestation: A Case Report

Georgakopoulou¹,

Kourtelesi²,

Mermigkis³

et al. 2020

Cureus

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Fibroepithelial polyps are uncommon benign tumors that mostly occur in skin, oral cavity and genitourinary tract. These lesions have common morphological features with other mesenchymal tumors such as angiomyofibroblastoma, aggressive angiomyxoma, and cellular angiofibroma and present with numerous histological appearances. Benign endobronchial tumors are rare. These neoplasms have a slow growth and usually are related to bronchial obstruction. Only a few cases of bronchial fibroepithelial polyps have been reported. Bronchial fibroepithelial polyps might present with airway stenosis resulting in atelectasis and bronchiectasis and the most frequent manifestations are recurrent infection, refractory asthma, dyspnea and hemoptysis. Chronic inflammation is associated with the pathogenesis of fibroepithelial polyps. Treatment varies according to mainly to the size and symptoms. Small lesions presenting with few symptoms can be treated with corticosteroids and antibiotics while invasive techniques including bronchoscopic resection of the polyp or lobectomy are used for larger lesions. We report a case of a bronchial fibroepithelial polyp with severe hemoptysis as the first manifestation. Physicians should always suspect these lesions in the differential diagnosis of hemoptysis and with initial right diagnosis surgical procedures can be avoided.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Bronchial Fibroepithelial Polyp With Severe Hemoptysis as First Manifestation: A Case Report

Georgakopoulou¹,

Kourtelesi²,

Mermigkis³

et al. 2020

Cureus

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“…In the literature, 42 cases of endobronchial fibroepithelial polyp are reported. Clinical data are available for 32 patients 4–10. The youngest patient described is a 32-year-old.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…Clinical data are available for 32 patients. [4][5][6][7][8][9][10] The youngest patient described is a 32-year-old. Hemoptysis, cough, dyspnea, refractory asthma, or repeated pneumonia are the most frequent clinical presentations.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

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Fibroepithelial Polyp as a Rare Cause of Bronchial Obstruction in a Child

Thimmesch¹,

Corhay²,

Mutijima

et al. 2022

Journal of Bronchology &Amp; Interventional Pulmonology

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Misdiagnosed Asthma Turned Out to Be Bronchial Fibroepithelial Polyp: Case Report and Review of Literature

Salahaldeen,

Hanin,

Dana

et al. 2024

Journal of Investigative Medicine High Impact Case Reports

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Bronchial fibroepithelial polyps are exceedingly rare with few cases have been reported. They can manifest with a wide array of symptoms; ranging from being totally asymptomatic, cough, refractory dyspnea, and hemoptysis. In our case, our patient’s condition was diagnosed and was managed as asthma. It is one of the rare benign conditions to be encountered, shares similar morphology with other tumors such as angiomyofibroblastoma, aggressive angiomyxoma, and cellular angiofibroma. These lesions have a slow growth pattern which may end up with obstruction. According to the tumor size and symptoms caused by it, treatment varies from observation to complete resection. This case describes an incidental finding of fibroepithelial polyp in the main bronchus for a patient with long-term refractory cough for 5 years, was misdiagnosed to have asthma. Diagnosis typically involves imaging and bronchoscopy, followed by appropriate therapeutic measures and careful monitoring to assess the prognosis.

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A bronchial fibroepithelial polyp with abnormal findings on auto-fluorescence imaging

Cited by 3 publications

References 5 publications

Bronchial Fibroepithelial Polyp With Severe Hemoptysis as First Manifestation: A Case Report

Bronchial Fibroepithelial Polyp With Severe Hemoptysis as First Manifestation: A Case Report

Fibroepithelial Polyp as a Rare Cause of Bronchial Obstruction in a Child

Misdiagnosed Asthma Turned Out to Be Bronchial Fibroepithelial Polyp: Case Report and Review of Literature

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