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Benign fibroepithelial polyp of renal pelvis in a patient with familial adenomatous polyposis: a successful percutaneous nephroscopic management strategy.

Vasdev N, Holmes P, Senior K, Haslam P, Hasan T, Dorkin T - Adv Urol (2009)

Bottom Line: We present a rare case of a benign fibroepithelial polyp of the renal pelvis in a patient with familial adenomatous polyposis.In our paper we describe a new minimally invasive technique developed in our unit using an amplatz goose neck snare via a percutaneous nephroscope sheath in the management of the benign fibroepithelial polyp of the renal pelvis and present a current review of management strategies in literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK. nikhilvasdev@doctors.org.uk

ABSTRACT
We present a rare case of a benign fibroepithelial polyp of the renal pelvis in a patient with familial adenomatous polyposis. In our paper we describe a new minimally invasive technique developed in our unit using an amplatz goose neck snare via a percutaneous nephroscope sheath in the management of the benign fibroepithelial polyp of the renal pelvis and present a current review of management strategies in literature.

No MeSH data available.


Related in: MedlinePlus

CT Scan findings of fibroepithelial polyp of left kidney.
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fig1: CT Scan findings of fibroepithelial polyp of left kidney.

Mentions: A 55-year-old woman was referred with acute left loin pain associated with dipstick-positive microscopic haematuria. Intravenous urography showed a filling defect within the left renal pelvis. The filling defect was thought to be a clot. A subsequent CT-Scan (pre- and postcontrast) confirmed the presence of a 13 mm mass arising within the left renal pelvis and extending into the upper pole of the kidney (Figures 1(a) and 1(b)). An urgent left retrograde study with a flexible ureteroscopy confirmed a 13 mm polypoidal lesion within the renal pelvis. Two pinch biopsies from the lesion were taken and histological analysis was representative of either a benign polyp or reactive mucosal hyperplasia. Staining for CK20 showed a normal distribution of umbrella cells. Further levels examined showed focal papillary hyperplasia with no evidence of malignancy. The patients past history included a restorative panproctocolectomy for familial adenomatous polyposis (FAP), total abdominal hysterectomy for uterine fibroids, and excision of a benign fundal gastric polyp. She was a heavy smoker with a 40 pack-year history.


Benign fibroepithelial polyp of renal pelvis in a patient with familial adenomatous polyposis: a successful percutaneous nephroscopic management strategy.

Vasdev N, Holmes P, Senior K, Haslam P, Hasan T, Dorkin T - Adv Urol (2009)

CT Scan findings of fibroepithelial polyp of left kidney.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2801015&req=5

fig1: CT Scan findings of fibroepithelial polyp of left kidney.
Mentions: A 55-year-old woman was referred with acute left loin pain associated with dipstick-positive microscopic haematuria. Intravenous urography showed a filling defect within the left renal pelvis. The filling defect was thought to be a clot. A subsequent CT-Scan (pre- and postcontrast) confirmed the presence of a 13 mm mass arising within the left renal pelvis and extending into the upper pole of the kidney (Figures 1(a) and 1(b)). An urgent left retrograde study with a flexible ureteroscopy confirmed a 13 mm polypoidal lesion within the renal pelvis. Two pinch biopsies from the lesion were taken and histological analysis was representative of either a benign polyp or reactive mucosal hyperplasia. Staining for CK20 showed a normal distribution of umbrella cells. Further levels examined showed focal papillary hyperplasia with no evidence of malignancy. The patients past history included a restorative panproctocolectomy for familial adenomatous polyposis (FAP), total abdominal hysterectomy for uterine fibroids, and excision of a benign fundal gastric polyp. She was a heavy smoker with a 40 pack-year history.

Bottom Line: We present a rare case of a benign fibroepithelial polyp of the renal pelvis in a patient with familial adenomatous polyposis.In our paper we describe a new minimally invasive technique developed in our unit using an amplatz goose neck snare via a percutaneous nephroscope sheath in the management of the benign fibroepithelial polyp of the renal pelvis and present a current review of management strategies in literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK. nikhilvasdev@doctors.org.uk

ABSTRACT
We present a rare case of a benign fibroepithelial polyp of the renal pelvis in a patient with familial adenomatous polyposis. In our paper we describe a new minimally invasive technique developed in our unit using an amplatz goose neck snare via a percutaneous nephroscope sheath in the management of the benign fibroepithelial polyp of the renal pelvis and present a current review of management strategies in literature.

No MeSH data available.


Related in: MedlinePlus