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Year: 2012  Vol. 16   Num. Suppl. 1  - May
DOI: 10.7162/S1809-977720120S1PO-112
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A HAIRY POLIP OF OROPHARYNX - CASE REPORT
PÓLIPO PILOSO DE OROFARINGE - RELATO DE CASO
Author(s):
Guilherme Constante Preis Sella, Tassiana Lago, Camila Carrara Yassuda, Andre Pereira Costa, Dayr Kiomizu Kazava, Edwin Tamashiro
Abstract:

OBJECTIVE: To report a case of hairy polyp of the oropharynx. CASE REPORT: Patient FVTC, 8 years old, female, she was referred for snoring and mouth breathing for 2 years. On examination, presents tonsils grade II lesions and pediculated left palatopharyngeal hardened into a pillar, about 2 cm. Rx cavum unchanged. Tonsillectomy has been shown to excise the lesion for diagnosis. Histopathological examination disclosed a hairy polyp with squamous epithelium without atypia, with all components present in the corium of the skin, including attachments follicles. CONCLUSION: hairy polyp ("Hairy polyp"), is a congenital tumor graduated from pluripotent cells that are derived from ectoderm and mesoderm. It manifests as a mass covered with skin containing hair and sebaceous gland. Are rare in the head and neck, with less than 2% occur in the oropharynx. It was first described by Brown-Kelly in 1918, predominantly in females (5-8 times more common). The clinical manifestation depends on the location and size of polyps, usually causes respiratory symptoms and food. There is a predilection for the left side of the body as yet unexplained. Usually appears as a pediculated mass with no cases reported of malignancy. There is no genetic predisposition or identification in relatives, and usually presents as an isolated defect. The diagnosis may be suspected by imaging studies, however, is difficult to differentiate the histological type. Treatment involves complete excision of the mass, with no need for any other supplement.

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