Congenital hairy polyp of the soft palate

Yılmaz, Mehmet; İbrahimov, Metin; Öztürk, Özcan; Karaman, Emin; Aslan, Mehmet

doi:10.1016/j.ijporl.2011.10.008

Cited by 27 publications

(49 citation statements)

References 33 publications

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“…Out of 2 cases presenting at birth, one was operated in early teens while the other was operated at the age of 1 month. HPs are six times more common in females, [3] while 3 of our cases were males, which is in contrast to the findings of other series in which a female predominance was noted [2,3].…”

Section: Discussioncontrasting

confidence: 99%

“…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%

“…So far 180 cases have been reported in literature. Yilmezet al [2] have described 5 cases with age more than 1 year, the oldest being 58 years. Out of 4 cases reported at our institution, 2 cases presented in late teens.…”

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%

“…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]. Owing to its bi-germinal layer origin, it is characterized by skin (ectoderm) covering a (mesodermal) core of adipocytes, smooth muscle and cartilage [12].…”

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: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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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Naso-oropharyngeal choristoma (hairy polyps): an overview and current update on presentation, management, origin and related controversies

Dutta

Roy

Ghatak

2014

Eur Arch Otorhinolaryngol

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This review presents a comprehensive and updated overview of bigerminal choristomas (hairy polyps) of naso-oropharynx/oral cavity, and discusses the controversies related to nosology and origin from a clinico-embryologic perspective. English-language texts of the last 25 years (January 1989-January 2014) were collected from the PubMed/MEDLINE database using the given keywords. Of the 330 records, 64 full-text articles (mostly case reports/series) were selected, incorporating clinical data from 78 patients, after screening through duplicates and the given exclusion criteria. With the available evidence, hairy polyps appear more common than generally believed, and are increasingly being recognized as an important, often-missed cause of respiratory distress and feeding difficulty in neonates and infants. Such a child without any apparent cause should be examined with flexible nasopharyngoscope to specifically look for hairy polyps which might be life-threatening, especially when small. The female preponderance as believed today has been found to be an overestimation in this review. These lesions are characteristically composed of mature ectodermal and mesodermal tissue derivatives presenting as heterotopic masses, hence termed choristoma. However, little is known about their origin, and whether they are developmental malformations or primitive teratomas is debatable. Involvement of Eustachian tube and tonsils as predominant subsites and the speculated molecular embryogenesis link hairy polyps to the development of the first and second pharyngeal arches. They are exceptionally rare in adults, but form a distinct entity in this age-group and could be explained as delayed pluripotent cell morphogenesis or focal neoplastic malformations, keeping with the present-day understandings of the expanded "teratoma family".

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Epidermal inclusion cyst of the soft palate and uvula in an infant

Tsai¹,

Kuo²,

Wang³

2013

Eur J Pediatr

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Congenital epidermal inclusion cysts of the soft palate or the uvula are uncommon mass lesions, and there have been only limited case reports of these in the literature. Although epidermal cysts are benign in nature and develop slowly, mass lesions growing near the soft palate or the uvula can result in velopharyngeal insufficiency, affecting both speech and swallowing. We present such a condition in a 7-month-old male infant with an epidermal inclusion cyst involving both the soft palate and the uvula.

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Congenital hairy polyp of the soft palate

Cited by 27 publications

References 33 publications

Hairy Polyp, a Clinicopathologic Study of Four Cases

Hairy Polyp, a Clinicopathologic Study of Four Cases

Naso-oropharyngeal choristoma (hairy polyps): an overview and current update on presentation, management, origin and related controversies

Epidermal inclusion cyst of the soft palate and uvula in an infant

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