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盲肠平滑肌瘤：我们可以尝试内镜切除吗？

Cecal Leiomyoma: Can We Attempt Endoscopic Resection?

作者信息

Badipatla Kanthi Rekha, Kamireddy Chandana, Niazi Masooma, Nayudu Suresh Kumar

机构信息

Division of Gastroenterology, Bronx Lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 10457, USA; Department of Medicine, Bronx Lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 10457, USA.

Department of Medicine, Bronx Lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 10457, USA.

出版信息

Gastroenterology Res. 2016 Dec;9(6):105-107. doi: 10.14740/gr736e. Epub 2016 Dec 23.

DOI:10.14740/gr736e
PMID:28058080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5191899/
Abstract

Gastrointestinal leiomyomas are smooth muscle tumors arising from the muscularis mucosae, muscularis propriae and possibly from smooth muscle of the vessel wall. Management depends on the size, location and the clinical scenario. Endoscopic snare cauterization with or without saline lift has been described in literature for tumors involving the left colon. To the best of our knowledge, endoscopic resection of right colon leiomyoma was never attempted in the past. We present a case of cecal leiomyoma which was resected endoscopically.

摘要

胃肠道平滑肌瘤是起源于黏膜肌层、固有肌层，也可能起源于血管壁平滑肌的肿瘤。治疗方法取决于肿瘤的大小、位置和临床情况。对于累及左半结肠的肿瘤，文献中已描述了使用或不使用生理盐水抬举法的内镜圈套电凝术。据我们所知，过去从未尝试过对右半结肠平滑肌瘤进行内镜切除。我们报告一例通过内镜切除的盲肠平滑肌瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/04d54c78a7b4/gr-09-105-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/1cd30a607848/gr-09-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/9e5ebabb9248/gr-09-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/13c701589c2a/gr-09-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/04d54c78a7b4/gr-09-105-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/1cd30a607848/gr-09-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/9e5ebabb9248/gr-09-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/13c701589c2a/gr-09-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6580/5191899/04d54c78a7b4/gr-09-105-g004.jpg

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引用本文的文献

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Sigmoid Leiomyoma: An Uncommon Occurrence.乙状结肠平滑肌瘤：一种罕见病例。
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本文引用的文献

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Int Surg. 2015 May;100(5):805-8. doi: 10.9738/INTSURG-D-14-00054.1.
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Incidental subepithelial sigmoid colon lesion.乙状结肠黏膜下偶然发现的病变。
Clin Gastroenterol Hepatol. 2015 Jan;13(1):A32. doi: 10.1016/j.cgh.2014.07.025. Epub 2014 Jul 19.
3
Obscure-occult bleeding: resolution of unexplained chronic sideropenic anaemia by colonoscopic removal of a colonic leiomyoma.隐匿性-隐匿性出血：通过结肠镜切除结肠平滑肌瘤治愈不明原因的慢性缺铁性贫血。
Case Rep Gastrointest Med. 2018 Apr 29;2018:8272313. doi: 10.1155/2018/8272313. eCollection 2018.
BMJ Case Rep. 2011 Feb 2;2011:bcr1120092455. doi: 10.1136/bcr.11.2009.2455.
4
Cystically degenerated leiomyoma of the rectosigmoid managed laparoscopically at 13 weeks of gestation.妊娠 13 周时经腹腔镜治疗乙状结肠部位囊性退变的平滑肌瘤。
J Minim Invasive Gynecol. 2012 May-Jun;19(3):383-5. doi: 10.1016/j.jmig.2011.12.018.
5
An unusual polyp: a pedunculated leiomyoma of the sigmoid colon.一种不寻常的息肉：乙状结肠带蒂平滑肌瘤。
Endoscopy. 2011;43 Suppl 2 UCTN:E306-7. doi: 10.1055/s-0030-1256640. Epub 2011 Sep 13.
6
Endoscopic submucosal dissection for premalignant lesions and noninvasive early gastrointestinal cancers.内镜黏膜下剥离术治疗癌前病变和非浸润性早期胃肠道癌。
World J Gastroenterol. 2011 Apr 7;17(13):1701-9. doi: 10.3748/wjg.v17.i13.1701.
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A rare cause of lower gastrointestinal bleeding.
Tunis Med. 2010 Dec;88(12):961-3.
8
Massive lower gastrointestinal hemorrhage caused by a large extraluminal leiomyoma of the colon: report of a case.结肠巨大腔外平滑肌瘤致大量下消化道出血：病例报告
Dis Colon Rectum. 2008 Jun;51(6):975-8. doi: 10.1007/s10350-007-9190-3. Epub 2008 Apr 12.
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Tumor vs non-tumor origin of occult and obscure gastrointestinal bleeding requiring hospitalization.因隐匿性和不明原因胃肠道出血需住院治疗时肿瘤与非肿瘤起源的情况
Tumori. 2007 Sep-Oct;93(5):461-6. doi: 10.1177/030089160709300509.
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[Leiomyomatosis of the colon: case report and literature review].[结肠平滑肌瘤病：病例报告及文献综述]
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