Hairy Polyp

Figure 1: Hairy Polyp

(Figure 1) A female infant was delivered at 39 weeks gestation by emergent cesarean section to a 27-year-old G3P1. The patient was initially cyanotic and tachypneic. She was admitted to the NICU for ongoing supplemental oxygen. After gagging during attempted feeding, a relatively large (2.7 x 1.9 x 0.7 cm) lesion was retrieved from the oral cavity (Panel A). It had a very narrow stalk and was covered with numerous fine hairs. Histologically, much of the specimen was composed of fibroadipose tissue with a few hair follicles along the periphery. Hairy polyps are rare naso-oropharyngeal tumors usually associated with respiratory and feeding difficulties shortly after birth. Their etiology and precise classification remains uncertain..