Doğanavşargil Başak, Serin Gürdeniz, Akyildiz Murat, Ertan Yeşim, Tunçyürek Müge
Department of Pathology, Ege University, School of Medicine, Izmir.
Turk J Gastroenterol. 2009 Dec;20(4):287-90. doi: 10.4318/tjg.2009.0029.
There are a fair number of polyps in the gastrointestinal tract, which cannot be classified under a certain category. We report herein a 50-year-old man with a 6-mm sigmoidal polyp; he had been operated previously for rectal carcinoma. The polyp was characterized by benign-appearing spindle cells in the lamina propria leading to a wide separation and disorganization of the colonic crypts, accompanied by focal erosion and restricted areas suspicious for inflammatory fibroid polyp. The histologic features were found consistent with the disease spectrum of 'benign fibroblastic polyp of the colon' defined by Eslami-Varzaneh et al. The case is presented with a review of the literature and differential diagnostic considerations.
胃肠道内有相当数量的息肉,无法归入某一特定类别。我们在此报告一名50岁男性,患有一个6毫米的乙状结肠息肉;他曾因直肠癌接受过手术。该息肉的特征是固有层中出现外观良性的梭形细胞,导致结肠隐窝广泛分离和紊乱,并伴有局灶性糜烂以及可疑为炎性纤维瘤息肉的局限性区域。组织学特征与Eslami-Varzaneh等人定义的“结肠良性纤维母细胞性息肉”疾病谱一致。本文通过文献回顾和鉴别诊断考量对该病例进行了介绍。