{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T01:38:37Z","timestamp":1769305117660,"version":"3.49.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,28]]},"abstract":"<jats:p>Fibroepithelial stromal polyps are mesenchymal lesions occurring typically in reproductive age women with a predilection for the vulvo-vaginal region. Malignancy may mimic this polyp in morphology, rendering further investigations including detailed histopathology mandatory. Histologically its characteristic features are stellate and multinucleate stromal cells identified near the epithelial\u2013stromal interface. This case report discusses incidental finding of largest fibroepithelial polyp presented in a 31-year-old nulliparous woman. She was initially admitted with sepsis and detailed physical examination revealed a right-sided infected pedunculated labial mass measuring 20\u00d721\u2009cm. After initial resuscitation for sepsis, she was further investigated for the mass. Transabdominal ultrasound was essentially normal apart from a small fibroid 3\u00d72\u2009cm in the anterior wall of the uterus. The vulval mass was removed under local and regional anaesthesia and was confirmed to be a giant fibroepithelial stromal polyp on histopathology. The woman recovered well and was followed up until 1\u2009year.<\/jats:p>","DOI":"10.1136\/bcr-2017-222789","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T05:25:19Z","timestamp":1521869119000},"page":"bcr-2017-222789","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Septic presentation of a giant fibroepithelial polyp of the vulva"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-2699","authenticated-orcid":false,"given":"Arzoo","family":"Amin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohra","family":"Amin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rahman","family":"Al Farsi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,23]]},"reference":[{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.1","first-page":"91","article-title":"Giant labial fibroepithelial stromal polyp","volume":"35","author":"Chan","year":"2013","journal-title":"Malays J Pathol"},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.2","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1002\/uog.5143","article-title":"Giant fibroepithelial stromal polyp of the vulva: extended field-of-view ultrasound and computed tomographic findings","volume":"30","author":"Bozgeyik","year":"2007","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1750-1164-7-8","article-title":"Giant fibroepithelial stromal polyp of the vulva: largest case reported","volume":"7","author":"Madueke-Laveaux","year":"2013","journal-title":"Ann Surg Innov Res"},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.4","doi-asserted-by":"crossref","unstructured":"Crum CP , Nucci MR , Lee KR . Diagnostic Gynecology and Obstetrics Pathology. Philadelphia: Elsevier, 2011:165\u201374. (Soft Tissue Lesions of the Vulva and Vagina).","DOI":"10.1016\/B978-1-4377-0764-9.00009-3"},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.5","unstructured":"Nucci MR , Olivia E . Gynecologic pathology: a volume in foundations in diagnostic pathology series: Elsevier\/Churchill Livingstone, 2009:31\u20132."},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.6","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/01.lgt.0000245041.52718.90","article-title":"Giant cell fibroblastoma of the vulva at the site of a previous fibroepithelial stromal polyp: a case report","volume":"11","author":"Han","year":"2007","journal-title":"J Low Genit Tract Dis"},{"key":"2025042703122049000_2018.mar23_1.bcr-2017-222789.7","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.ygyno.2005.01.020","article-title":"Recurrent giant fibroepithelial stromal polyp of the vulva associated with congenital lymphedema","volume":"98","author":"Orosz","year":"2005","journal-title":"Gynecol Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:12:29Z","timestamp":1745748749000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,23]]},"references-count":7,"alternative-id":["10.1136\/bcr-2017-222789"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222789","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,23]]}}}