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Cellular Pseudosarcomatous Fibroepithelial Stromal Polyp of the Vagina during Pregnancy: A Lesion That Is Overdiagnosed as a Malignant Tumor

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¼ÛÁؼ±, ¼Ûµ¿Àº, ±è±Ô·¡, ³ëÀçÀ±,
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¼ÛÁؼ± ( Song Joon-Seon ) 
University of Ulsan College of Medicine Department of Pathology

¼Ûµ¿Àº ( Song Dong-Eun ) 
University of Ulsan College of Medicine Department of Pathology
±è±Ô·¡ ( Kim Kyu-Rae ) 
University of Ulsan College of Medicine Department of Pathology
³ëÀçÀ± ( Ro Jae Y. ) 
University of Texas Anderson Cancer Center Department of Pathology

Abstract


Fibroepithelial stromal polyp (FSP) is a benign lesion that can occur at various sites, including the lower female genital tract. In rare cases, however, it may exhibit hypercellularity, bizarre cytomorphological features, and atypical mitoses resulting in an overdiagnosis as a malignant tumor despite its benign clinical course. Recently, we experienced one case of a 30-year-old pregnant woman with cellular pseudosarcomatous FSP that was initially diagnosed as a malignant fibrous histiocytoma at a primary clinic. In addition to describing the rare features of this case, we wish to increase awareness about this benign lesion which will be essential for avoiding unnecessary radical surgery or chemoradiation treatment.

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Fibroepithelial polyp; Vagina; Pregnancy

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