Ureteral fibroepithelial polyp

Case contributed by Maxime St-Amant
Diagnosis certain

Presentation

Known ureteral lesion. Follow-up.

Patient Data

Age: 45 years
Gender: Male

Intravenous pyelogram

Fluoroscopy

Very subtle endoluminal oval filling defect in the pelvic ureter. The patient was known to have a fibroepithelial polyp, which appeared similar on past examinations.

Case Discussion

A fibroepithelial polyp is a benign mesodermal tumor mainly seen in adults. Radiologically, the diagnosis is very hard to make. Excision is advised if hydroureteronephrosis is seen or if the patient is symptomatic since there is an overlap in appearance with transitional/urothelial cell carcinoma.

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