Tohoku J. Exp. Med., 2022 August, 257(4)

Fibroepithelial Polyps Originating from the Posterior Nasal Septum: A Case Report

Yuki Numano,1 Kazuhiro Nomura,1 Mika Watanabe,2 Mitsuru Sugawara,1 Tomotaka Hemmi,3 Jun Suzuki3 and Yukio Katori3

1Department of Otolaryngology, Tohoku Kosai Hospital, Sendai, Miyagi, Japan
2Department of Pathology, Tohoku Kosai Hospital, Sendai, Miyagi, Japan
3Department of Otolaryngology, Head and Neck Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan

Fibroepithelial polyps are benign tumors of mesodermal origin. They rarely occur in the nasal cavity, with only four such cases reported in the relevant English literature. The location was the inferior turbinate in three cases and anterior nasal septum in one case. The etiology has been suggested in other organs; however, it is entirely unknown in the nasal cavity. Pathological findings play an essential role in the diagnosis of fibroepithelial polyps. We report the case of a 76-year-old woman with fibroepithelial polyps originating from the posterior part of the nasal septum. The fibroepithelial polyps were white-yellow lobular masses that differed from a common inflammatory polyp. We made the diagnosis by excluding the other possible tumors based on a pathological examination. This is the first report about fibroepithelial polyps arising from the posterior nasal septum. She had no potential risk factors that might trigger fibroepithelial polyps in the nasal cavity. This case is a valuable example when considering the potential causes (e.g., female hormones and mechanical pressure) of nasal fibroepithelial polyps.

Keywords —— fibroepithelial polyps; inflammatory nasal polyp; nasal septum; papilloma; respiratory epithelial adenomatoid hamartoma

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Tohoku J. Exp. Med 2022, 257, 333-336.

Correspondence: Yuki Numano, M.D., Department of Otolaryngology, Tohoku Kosai Hospital, 2-3-11 Kokubun-cho, Aoba-ku, Sendai, Miyagi 980-0803, Japan.

e-mail: yukinumano0@gmail.com