Hairy polyp of the oropharynx: Case report and literature review

Kelly, Andrea; Bough, I. David; Luft, Jay; Conard, Katrina; Reilly, James S.; Tuttle, Deborah

doi:10.1016/s0022-3468(96)90680-6

Cited by 63 publications

(81 citation statements)

References 10 publications

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“…Hairy polys (HP) are rare but the most common congenital, benign naso-oropharyngeal tumors [1] which usually present at birth or in early infancy and are quite uncommon after first year of life [1,2]. So far 180 cases have been reported in literature.…”

Section: Discussionmentioning

confidence: 99%

“…HPs are usually isolated but can be seen in association with a number of congenital malformations including cleft palate, uvula and external ear agenesis, ankyloglossia, choanal atresia, facial hemihypertrophy, left carotid artery atresia, osteopetrosis [1,6,14], persistent nasopharyngeal membrane, 1st & 2nd branchial arch malformations, etc. and are therefore, considered as a developmental abnormality [6,13,15].…”

Section: Discussionmentioning

confidence: 99%

“…So far, two cases with recurrence have been reported. Metastasis has so far not been reported [1,10].…”

Section: Discussionmentioning

confidence: 99%

“…Hairy polyps (HP) are benign tumors of neonates and infants [1,2]. HP can arise from any of the naso-oropharyngeal structures (including tonsils, eustachean tube and tongue) as a skin covered polypoidal mass [2][3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Hairy Polyp, a Clinicopathologic Study of Four Cases

Tariq

Din

Bashir

2013

Head and Neck Pathol

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Hairy polyps (HPs), dermoids or teratoid tumors are rare tumors of naso-oropharyngeal region which commonly present at or shortly after birth. The etiology and classification of these tumors is still debatable and categorized by different authors differently. HPs have female predominance and usually present with respiratory and feeding problems. Microscopically, the polyp is covered by skin with underlying mesenchymal core. The aim of this study is to describe the clinicopathological features of Hairy polyps on a cohort of cases. We reviewed the surgical pathology database of our institution for last 10 years and retrieved four cases of hairy polyps. The age of patients ranged from 1 month to 18 years (mean = 12 years), with a female to male ratio of 1:3. Two of our cases presented at birth and two cases in late teens. Two of the HPs were located in nasopharynx, one on soft and hard palate and one on lower lip. One case was associated with bifurcation of tongue. Size of the polyps ranged from 2.3 to 4.5 cm (mean = 3 cm). Histologically, all HPs were lined by skin and the underlying core consisted of adnexal structures, adipocytes, skeletal muscle, smooth muscle and seromucinous glands. Lymphoid aggregates, cartilage and bone were seen in one case each. Our series highlights the diverse nature of this entity in terms of age of presentation and location. HP at lower lip and associated bifurcation of tongue has not been previously reported. We observed a male predominance in contrast to the published literature. However, number of cases is too few to read a definite conclusion on this point. The etiology is still controversial and includes congenital malformation and activation of pluripotent stem cells.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…So far, two cases with recurrence have been reported. Metastasis has so far not been reported [1,10].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hairy Polyp, a Clinicopathologic Study of Four Cases

Tariq

Din

Bashir

2013

Head and Neck Pathol

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“…Most hairy polyps present as a single pedunculated mass with the stalk attached to the oropharyngeal wall. Approximately 60% of them originate from the lateral wall of the nasopharynx and the superior surface of the soft palate, but other rare locations have been reported, such as the tonsillar region and pharynx 7 . Histologically, the lesion is composed of epidermis, hair follicles, sebaceous glands and eccrine sweat glands.…”

mentioning

confidence: 99%

Association of congenital hypothalamic hamartoma and hairy polyp

Planas¹,

Ferreres²,

Ortega³

et al. 2009

Ultrasound in Obstet & Gyne

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Hairy polyps: A new case presentation and a pathogenetic hypothesis

et al. 2018

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Hairy polyps are benign lesions found in the oropharynx or nasopharynx that are thought to be present at birth and can lead to upper airway obstruction in infants. Also known as naso‐oropharyngeal choristoma, they are increasingly viewed as aggregates of bigeminal tissue, likely from the first or second branchial arches, found in aberrant locations. They are benign lesions that are usually successfully treated by surgical excision. Here we present a rare case of a hairy polyp originating in the eustachian tube of a 7‐week‐old male, discuss our management of the patient, and put forth a new hypothesis as to the origin of these lesions. Laryngoscope, 129:2398–2402, 2019

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Hairy polyp of the oropharynx: Case report and literature review

Cited by 63 publications

References 10 publications

Hairy Polyp, a Clinicopathologic Study of Four Cases

Hairy Polyp, a Clinicopathologic Study of Four Cases

Association of congenital hypothalamic hamartoma and hairy polyp

Hairy polyps: A new case presentation and a pathogenetic hypothesis

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