Universidad Militar Nueva Granada - Hospital Militar Central, Bogota, Colombia
Hospital Universitario Mayor - Méderi, Bogota, Colombia.
BMJ Case Rep. 2021 Jul 2;14(7):e239088. doi: 10.1136/bcr-2020-239088.
We report a fifth case of a transverse colon primary synovial sarcoma. A 31-year-old man with history of grade I obesity presented to an outpatient clinic reporting 6 months of intermittent colicky abdominal pain associated with haematochezia and rectal bleeding. Colonoscopy reported a partially obstructive intraluminal tumour lesion located in the transverse colon. There was no evidence of metastatic disease in the extension studies, so the patient was admitted to the hospital for a laparoscopic subtotal colectomy. Histopathology demonstrated intermediate-grade synovial sarcoma. At the third year of follow-up, the patient presented metastases on the chest wall, which required extensive resection and complementary oncological management.
我们报告了第五例横结肠原发性滑膜肉瘤。一名 31 岁的男性，有一级肥胖病史，因间歇性绞痛性腹痛伴血便和直肠出血而到门诊就诊。结肠镜检查报告称横结肠内有一处部分阻塞的腔内肿瘤病变。扩展研究中没有转移性疾病的证据，因此患者被收入医院接受腹腔镜次全结肠切除术。组织病理学显示为中等级滑膜肉瘤。在随访的第三年，患者出现了胸壁转移，需要广泛切除和补充肿瘤学治疗。
