Lee Seung Hwa, Huh Gun Yoong, Cheong Yoo Seock
Health Promotion Center, Dankook University College of Medicine, Cheonan, Korea.
J Korean Soc Coloproctol. 2011 Aug;27(4):215-9. doi: 10.3393/jksc.2011.27.4.215. Epub 2011 Aug 31.
During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.
在结肠镜检查过程中，上皮性病变，如腺瘤性息肉，经常会被发现，与之不同的是，黏膜下病变，如平滑肌瘤，则较为少见。结肠平滑肌瘤是一种罕见的肿瘤，起源于黏膜肌层或固有肌层，仅占所有胃肠道平滑肌瘤的3%。结肠平滑肌瘤通常为良性且无症状。然而，它们有时会引起症状，如腹痛、肠梗阻、出血和穿孔。结肠平滑肌瘤的传统治疗方法是手术切除。近年来，随着内镜设备和技术的发展，内镜下切除已被视为一种替代治疗选择。我们遇到一位在结肠镜检查时被诊断为平滑肌瘤的患者。该平滑肌瘤通过内镜切除且无并发症发生。我们报告此病例并复习相关文献。
