Bronchial Fibroepithelial Polyp With Severe Hemoptysis as First Manifestation: A Case Report

Abstract

Fibroepithelial polyps are uncommon benign tumors that mostly occur in skin, oral cavity and genitourinary tract. These lesions have common morphological features with other mesenchymal tumors such as angiomyofibroblastoma, aggressive angiomyxoma, and cellular angiofibroma and present with numerous histological appearances. Benign endobronchial tumors are rare. These neoplasms have a slow growth and usually are related to bronchial obstruction. Only a few cases of bronchial fibroepithelial polyps have been reported. Bronchial fibroepithelial polyps might present with airway stenosis resulting in atelectasis and bronchiectasis and the most frequent manifestations are recurrent infection, refractory asthma, dyspnea and hemoptysis. Chronic inflammation is associated with the pathogenesis of fibroepithelial polyps. Treatment varies according to mainly to the size and symptoms. Small lesions presenting with few symptoms can be treated with corticosteroids and antibiotics while invasive techniques including bronchoscopic resection of the polyp or lobectomy are used for larger lesions. We report a case of a bronchial fibroepithelial polyp with severe hemoptysis as the first manifestation. Physicians should always suspect these lesions in the differential diagnosis of hemoptysis and with initial right diagnosis surgical procedures can be avoided.

Misdiagnosed Asthma Turned Out to Be Bronchial Fibroepithelial Polyp: Case Report and Review of Literature

“…However, we could only access 37 case reports, including our own ( Table 1 ). 3 , 5 , 7 , 9 - 16 Based on what these case reports have suggested, it is been theorized that the development of bronchial FEP might be linked to ongoing irritation of the bronchial passages due to different factors like smoking and infections.…”

“…In instances of small lesions, which are often devoid of symptoms, management typically involves corticosteroids and antibiotics, while bigger lesions are typically treated with invasive methods such lobectomy or bronchoscopic polyp removal. 3 …”

Case report: Bronchoscopic intervention for rare benign airway tumors: a report of 4 cases and literature review

“…Lesions vary in size, with reported diameters ranging from 2 mm to 20 mm and an average size of 6.5 mm in existing studies ( 8 ). Clinical presentations vary in severity; smaller lesions are often found on physical examination, while larger lesions may present with symptoms such as hemoptysis, fever, and airway obstruction ( 9 , 10 ). On bronchoscopy, they appear as round, polypoid lesions with a smooth surface, either circular or lobulated.…”

Fibroepithelial Polyp as a Rare Cause of Bronchial Obstruction in a Child

“…In the literature, 42 cases of endobronchial fibroepithelial polyp are reported. Clinical data are available for 32 patients 4–10. The youngest patient described is a 32-year-old.…”

“…Clinical data are available for 32 patients. [4][5][6][7][8][9][10] The youngest patient described is a 32-year-old. Hemoptysis, cough, dyspnea, refractory asthma, or repeated pneumonia are the most frequent clinical presentations.…”