Multiple fibroepithelial polyps arising from the inferior turbinate.

A 77-year-old man presented with long periods of left-sided nasal obstruction and intermittent epistaxis. Nasal fibroscopy revealed an unusual, white, cauliflower-like, well-circumscribed, firm polypoidal mass arising from the vertebral portion of the left inferior turbinate (Figure 1). The surface of the multilocular polyps was lustrous. Computed tomography showed soft-tissue opacity with no enhancement that filled the left vestibule without any bony destruction. The mass measuring 2 cm was removed by an endoscopic inferior turbinectomy. Pathological examination showed small exophytic polyps with constrictions. Figure 2 shows the fibroepithelial polyps (FEPs) consisting of a fibrous lesion covered by pseudostratified cylindrical epithelium, surrounding a hemangioma. Compared with normal nasal polyps, FEPs had less infiltration of eosinophils, lymphocytes, and inflammatory cells. There was no evidence of dysplasia or malignancy. The institutional review board of Tokyo Teishin Hospital approved this article.