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横结肠滑膜肉瘤:肠套叠的罕见病因。

Synovial sarcoma of the transverse colon: a rare cause of intussusception.

作者信息

Lee Yongjin Felix, Cleary Robert K

机构信息

General Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA.

Colon and Rectal Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA.

出版信息

BMJ Case Rep. 2018 Mar 30;2018:bcr-2018-224198. doi: 10.1136/bcr-2018-224198.

Abstract

We report a third case of a primary intramural synovial sarcoma of the lower gastrointestinal tract. A 50-year-old woman presented with hematochezia, dizziness and shortness of breath. CT imaging revealed a transverse colo-colonic intussusception with a colonic mass serving as a lead point. A subtotal colectomy was performed with oncologic resection of a sausage-like mass in the mid-transverse colon. Pathological assessment showed a biphasic synovial sarcoma. The postoperative hospital course was without complications and the patient was discharged home with plans for postoperative surveillance.

摘要

我们报告了第三例下消化道原发性壁内滑膜肉瘤。一名50岁女性出现便血、头晕和呼吸急促。CT成像显示横结肠结肠套叠,以结肠肿块为套叠头部。行次全结肠切除术,将横结肠中部的香肠样肿块行肿瘤切除。病理评估显示为双相滑膜肉瘤。术后住院过程无并发症,患者出院并计划进行术后监测。

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