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Giant submucosal lipoma located in the descending colon: A case report and review of the literature

查看全文 作  者:Li Jiang Li-Sheng Jiang Fu-Yu Li Hui Ye Ning Li Nan-Sheng Cheng Yong [1]Zhou 高影响力作者 机构地区:[1]The First Department of General Surgery, West China Hospital of Sichuan University, Chengdu610041, Sichuan Province, China高影响力机构 出  处:《World Journal of Gastroenterology》索引2007年第13卷第42期,共4页高影响力期刊 摘  要:Colonic lipoma is an uncommon tumor of the gastrointestinal tract.Most cases are asymptomatic,with a small tumor size,and do not need any special treatment.However,we encountered one patient with a giant submucosal lipoma,with a maximum diameter of 8.5 cm,which exhibited symptoms such as intermittent lower abdominal pain,changes in bowel habits with passage of fresh blood and mucus per rectum,abdominal distension,anorexia and weight loss.Unfortunately,the possibility of colonic malignancy could not be precluded and left hemicolectomy was planned.The exact diagnosis of this special case was accomplished by intraoperative pathology.In the end,local resection was performed instead of left hemicolectomy.To the best of our knowledge,colonic lipoma exceeding 8 cm in diameter has not been previously reported.We,therefore,present this case and discuss age and sex factors,clinical and histopathological findings,diagnostic methods and treatment by reviewing the available literature,to serve as a reminder that colonic lipoma can also exist in patients with significant symptoms.In addition,intraoperative pathology should be investigated in those doubtful cases,so as to guide the exact diagnosis and treatment plan. 关 键 词:结肠 脂肪瘤 诊断 治疗
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