Congenital giant fibroepithelial polyp of the scrotum in an infant: the first case report from China

Abstract

Giant fibroepithelial polyp (FP) of the scrotum in infants is a rare disease. We reported the first case of FP in China. The child was only 9 months and 12 days old and was admitted to the hospital due to rapid growth and rupture of the scrotal mass. The patient underwent scrotal exploration under general anesthesia, and the mass was cystic-solid with clear boundaries. The tumor did not invade the sarcolemma of the scrotum and testicular tissue. The intraoperative pathological frozen section tended to be benign, and the scrotum's tumor and subcutaneous pedicle tissue were removed entirely after 0.5 cm from the boundary of the mass. The operation was successful. The mass was confirmed as FP by postoperative pathology. 6 months after the operation, the incision healed well without recurrence. This case report has a detailed diagnosis and treatment process and adequate examination results. It can provide a reference for diagnosing and treating FP in infants and reduce the risk of misdiagnosis and mistreatment.

Giant inflamed fibroepithelial scrotal polyp mimicking an anogenital wart

“…4 Diagnosis is usually clinical, and histopathology is helpful where there is diagnostic uncertainty. 3 There are only two case reports of giant scrotal fibroepithelial polyps in adult males, and as far as we know this is the first case report where the gross appearance is characteristically warty or condylomatous. Our initial clinical diagnosis was a giant condyloma of Buschke and Lowenstein, but due to the absence of any sexual risk factors, and lack of response to imiquimod, our patient had a surgical resection and histopathology confirmed the lesion as an inflamed fibroepithelial polyp.…”

“…They are however considered a reactive process due to local pressure. Those located on the penis may be due to long term condom use, 3 chronic catheter use and one case report was described in a man who practised genital hanging kung fu. 4 Diagnosis is usually clinical, and histopathology is helpful where there is diagnostic uncertainty.…”

“…The term describes lesions that are larger in size, often more than 5 cm. 3 They may involve the scrotum and penis in men, or the vulva in women. The gross appearance may be polypoid, globular, nodular or condylomatous.…”

“…Diagnosis is usually clinical, and histopathology is helpful where there is diagnostic uncertainty. 3…”