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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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本文引用的文献

1
Intestinal Intussusception: Etiology, Diagnosis, and Treatment.肠套叠:病因、诊断与治疗
Clin Colon Rectal Surg. 2017 Feb;30(1):30-39. doi: 10.1055/s-0036-1593429.
2
Synovial sarcoma presenting as colonic intussusception in a child.一名儿童以结肠套叠形式表现的滑膜肉瘤。
Pediatr Blood Cancer. 2017 Jan;64(1):207-208. doi: 10.1002/pbc.26211. Epub 2016 Aug 30.
5
Synovial sarcoma in a premature newborn.一名早产新生儿患滑膜肉瘤。
Pediatr Int. 2014 Jun;56(3):e17-20. doi: 10.1111/ped.12338.
10
Primary monophasic synovial sarcoma of the colon.结肠原发性单相滑膜肉瘤
Histopathology. 2007 Mar;50(4):521-3. doi: 10.1111/j.1365-2559.2007.02603.x.

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