Multiple Fibroepithelial Polyps in the Pediatric Age Group: Case Report

Fibroépithélial Polyps of the Ureter

“…The fibroépithélial polyp of the ureter occurs most fre quently during the second, third and fourth decade [3] but reports have also concerned neonates [14], children [1,2,4,6,9,13,15] and elderly patients over 70 years [3], Our own 3rd patient could be the oldest published to date. There is an unexplained male predominance (sex ratio 3:2), while malignant ureteral tumors are more evenly distributed [16].…”

“…When there is extensive ureteral involvement, ureteral substitution by small bowel or au totransplantation should be considered. Nephroureterectomy may be required when the kidney is severely dam aged, when the lesion is too extensive, when the benign diagnosis is doubtful despite frozen section [6], or when there is an association with carcinoma of the ureter [3], No recurrence was noted after local resection and the results after conservative surgical approach are excellent [2,3,14].…”

The Diagnosis and Management of Benign Fibrous Ureteric Polyps

“…If urinary cytology is negative, it is u'nlikely that -a malignant lesion is present, so that the risk of implantation should be minimal. Frozen section is of doubtful value, since it is difficult to interpret and in one case (Eilenberg et al, 1977), resulted in unnecessary nephroureterectomy .…”

Fibroepithelial Ureteral Polyps

“…The relatively young age of most of the patients (pre dominance of the second, third and fourth decade [ 1 ] and the fact that there are cases reported in the pediatric age group [2] and even in the newborn [3] makes the last theory more acceptable. Association with urolithiasis [4] might indicate irritation to be the etiological moment.…”