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[混合性结肠肿瘤:平滑肌瘤-血管瘤]

[Mixed colon tumour: leiomyoma-haemangioma].

作者信息

Colović R, Jancić-Zguricas M, Perisić-Savić M, Krivokapić Z

出版信息

Srp Arh Celok Lek. 1989 Sep-Oct;117(9-10):689-98.

Abstract

Leiomyoma and heamangioma of the colon are extremely rare tumours. Only 27 cases were published in world literature up to 1954. A few new were published after that period. We describe a 46-year-old man with 3-months-history of occlusive symptoms in whom during the operation for complete colon obstruction mixed colon tumour (leiomyoma-haemangioma) was found, 10 cm distal to hepatic flexure. The tumour was of intraluminal pedunculated type", 7 cm in maximal diameter. Four enlarged, firm lymph nodes in the mesocolon close to the tumour were found. Right colectomy was carried out as the most resonable procedure. Histopathology showed leiomyoma of the colon with massive fibrous tissue, degeneration, bleeding of the tumour and many dilated blood vessels, so that its pedunculated part resembled a haemangioma. No sign of malignancy was found. The recovery of the patient was normal, and he stayed symptom-free, with normal small bowel function, clinical and laboratory data.

摘要

结肠平滑肌瘤和血管瘤是极为罕见的肿瘤。截至1954年,世界文献中仅发表了27例。此后又有少数新病例发表。我们描述了一名46岁男性,有3个月的梗阻症状病史,在因完全性结肠梗阻进行手术时,于肝曲远端10厘米处发现了混合性结肠肿瘤(平滑肌瘤 - 血管瘤)。肿瘤为腔内带蒂型,最大直径7厘米。在靠近肿瘤的结肠系膜中发现了4个肿大、坚硬的淋巴结。作为最合理的手术方式,进行了右半结肠切除术。组织病理学显示结肠平滑肌瘤伴有大量纤维组织、肿瘤变性、出血以及许多扩张的血管,因此其带蒂部分类似血管瘤。未发现恶性迹象。患者恢复正常,无任何症状,小肠功能正常,临床和实验室数据也正常。

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