Krishnaraj B, Dhanapal B, Shankar G, Sistla S C, Galidevara I, Suresh A
Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India.
Ann R Coll Surg Engl. 2018 Mar;100(3):e41-e43. doi: 10.1308/rcsann.2017.0209. Epub 2018 Feb 27.
Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.
胃脂肪瘤是一种罕见的胃部良性肿瘤,占所有胃部良性肿瘤的比例不到3%。它们通常无症状,但较大的病变可表现为腹痛、胃出口梗阻和呕血。恶性转化极为罕见。通过计算机断层扫描可进行准确的术前诊断。由于是良性肿瘤,无需进行广泛手术,简单切除病变即可。小的无症状病变可进行随访。我们报告一例80岁女性胃黏膜下脂肪瘤患者,该患者出现了呕血症状。