Surgical excision of UP is mandatory with or without abdominal exploration to detect any other associated anomalies. Eight lesions averaging 2.3 cm in size occurred in the extremities, two in the head and neck region and one on the chest wall. Nine patients 6 weeks to 9 years old had 11 ureteropelvic junction obstructions secondary to fibroepithelial polyps, representing a 0.5% incidence of all ureteropelvic junction obstructions seen during that period. Each chapter starts with an interactive case presentation, referred to as the index case, which prompts the reader to think about diagnosis and management issues, and then provides an evidence-based approach to the same. Age ranged from 3 to 18 months (mean 9 months, median 8 months). Join ResearchGate to find the people and research you need to help your work. Exploration of the abdomen to exclude the presence of associated OMD remnants is controversial. Therefore, making an accurate diagnosis is important, as it influences treatment. The most frequent umbilical mass in neonates is the umbilical granuloma followed by the umbilical polyp; most of UP are congenital, and few entities are an acquired lesions, but we opted to discuss this pathology with the acquired lesions because of the resemblance between UP and U granuloma and to give some clues for differentiation between those different pathologies, with some shared features. They ranged in size from 0.4 to 1.2 cm in diameter. The presence of the visible polyp may give an external clue to otherwise obscure intraabdominal symptoms. In conclusion, the “fibrous umbilical polyp” is a distinctive lesion of early childhood with an uncertain pathogenesis. © 2008-2020 ResearchGate GmbH. Recently described entities in this category, including the latter tumour and composite haemangioendothelioma, are described. Ammanagi AS, Chikkannaiah P, Yenni VV, Dombale VD. Nodular fasciitis is the archetype of this group of "fibrous tumors." This review evaluates changes in vascular nomenclature particularly in the category of vascular tumours of intermediate malignancy that includes the various haemangioendotheliomas, Kaposi's sarcoma and giant cell angioblastoma. Fibrous umbilical polyp: a distinct fasciitis-like proliferation of early childhood with a marked male predominance. The aim of this study was to evaluate the need for peritoneal cavity exploration in children with umbilical polyp. These polyps are rare abnormalities and are usually diagnosed in neonates, especially the congenital one, although lesions have been found in older children and also in adults, but in the latter they are exceptional, and it is usually neoplastic, and of course it is an acquired lesion, with a wide spectrum of different pathologies. A large number of other physicians will find this book very useful, including general surgeons who evaluate and treat childhood surgical diseases, paediatricians and pediatric hospitalists who co-manage patients with surgeons, and obstetricians, pathologists, and radiologists who work closely with pediatric surgeons. Download Citation | Fibrous Umbilical Polyp | Benign fibrous lesions of the umbilicus have not been previously studied in a formal series. Four patients were treated by wide excision (three with regional lymphadenectomy), three received chemotherapy, and one was given radiation therapy. Only 22% of the patients had a diagnosis of obstructing polyps suggested preoperatively. Please enable it to take advantage of the complete set of features! All lesions were characterized microscopically by polypoid projections of fibrous tissue covered by epithelium and demonstrating varying degrees of inflammation.
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