UNCOMMON PRESENTATION OF FIBROEPITHELIAL POLYP IN THE RIGHT MIDDLE LOBE: A RARE CASE REPORT

Abstract

Fibroepithelial polyps (FEPs) are benign mesenchymal lesions that are exceptionally rare within the bronchial tree, with very few cases documented worldwide. This case report describes a 55-year-old male with chronic respiratory symptoms, including progressive breathlessness and productive cough, who was found to have a polypoidal lesion in the lateral segment of the right middle lobe bronchus. High-resolution computed tomography revealed secondary changes such as ground-glass opacities and bronchiectasis, but failed to clearly identify the lesion. Bronchoscopic evaluation led to the detection and successful removal of the mass using snare forceps. Histopathological analysis confirmed the diagnosis of a fibroepithelial polyp, showing a benign respiratory epithelium with fibrovascular stroma and chronic inflammatory infiltrates. The patient recovered uneventfully with complete symptom resolution and no recurrence on follow-up. This case highlights the importance of considering rare benign endobronchial lesions in differential diagnoses and demonstrates the diagnostic and therapeutic value of bronchoscopy in managing such uncommon presentations.