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[间质性结肠肿瘤经直肠自然排出]

[Spontaneous expulsion of a mesenchymal colonic tumor via the rectum].

作者信息

Scheppach Wolfgang, Steger Ulrich, Küsters Wolfgang, Wild Vanessa

机构信息

Medizinische Klinik, Schwerpunkt Gastroenterologie & Rheumatologie, Klinikum Würzburg Mitte, Standort Juliusspital, Salvatorstr. 7, 97074, Würzburg, Deutschland.

Klinik für Chirurgie, Allgemein- und Viszeralchirurgie, Klinikum Würzburg Mitte, Standort Juliusspital, Würzburg, Deutschland.

出版信息

Internist (Berl). 2022 May;63(5):551-555. doi: 10.1007/s00108-022-01278-z. Epub 2022 Feb 16.

DOI:10.1007/s00108-022-01278-z
PMID:35171302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8853436/
Abstract

A 61-year-old male patient underwent a colonoscopy for cramp-like upper abdominal pain of 3 weeks duration. An endoscopically irresectable ulcerated mass was seen in the transverse colon. The patient spontaneously excreted in the feces a tumor node measuring 4.1 × 3.5 × 2.8 cm with the histological features of a submucosal lipoma 4 days after the colonoscopy. A benign lipoma confined to the submucosa was operatively confirmed. It is extremely rare for a tumor node to be shed in feces. If the benign nature of the entire lesion is doubtful, standard oncological procedures are advocated.

摘要

一名61岁男性患者因持续3周的痉挛样上腹部疼痛接受了结肠镜检查。在横结肠发现一个内镜下无法切除的溃疡性肿块。结肠镜检查4天后，患者粪便中自行排出一个大小为4.1×3.5×2.8 cm的肿瘤结节，具有黏膜下脂肪瘤的组织学特征。手术证实为局限于黏膜下层的良性脂肪瘤。肿瘤结节经粪便排出极为罕见。如果整个病变的良性性质存疑，则提倡采用标准的肿瘤学治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/1ae9caad0f58/108_2022_1278_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/90f405b43252/108_2022_1278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/3aa5c0356ce5/108_2022_1278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/fcddd9b7666d/108_2022_1278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/c2d72a0069f5/108_2022_1278_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/1ae9caad0f58/108_2022_1278_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/90f405b43252/108_2022_1278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/3aa5c0356ce5/108_2022_1278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/fcddd9b7666d/108_2022_1278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/c2d72a0069f5/108_2022_1278_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0526/8853436/1ae9caad0f58/108_2022_1278_Fig5_HTML.jpg

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A War on Two Fronts: Cancer Care in the Time of COVID-19.两面作战：新冠疫情时期的癌症照护
Ann Intern Med. 2020 Jun 2;172(11):756-758. doi: 10.7326/M20-1133. Epub 2020 Mar 27.
2
Spontaneous colonic lipoma expulsion after diagnostic colonoscopy: a peculiar occurrence.诊断性结肠镜检查后自发性结肠脂肪瘤排出：一种特殊情况。
Gastrointest Endosc. 2020 Feb;91(2):449-450. doi: 10.1016/j.gie.2019.09.004. Epub 2019 Sep 11.
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Partial spontaneous anal expulsion of the right colon lipoma: An exceptional diagnostic circumstance.右结肠脂肪瘤部分自发性经肛门排出：一种特殊的诊断情况。
Int J Surg Case Rep. 2017 Nov 15;41:414-416. doi: 10.1016/j.ijscr.2017.10.059. eCollection 2017.
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Primary colonic well-differentiated / dedifferentiated liposarcoma of the ascending colon: a case report.升结肠原发性高分化/去分化脂肪肉瘤：一例报告
Surg Case Rep. 2017 Aug 30;3(1):96. doi: 10.1186/s40792-017-0373-4.
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Spontaneous Expulsion per Rectum of Colonic Lipoma.
Clin Gastroenterol Hepatol. 2017 Jun;15(6):A19. doi: 10.1016/j.cgh.2017.01.028. Epub 2017 Feb 3.
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Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review.直肠自发性排出回肠脂肪瘤后肠套叠的缓解：一例报告及文献综述
World J Surg Oncol. 2014 May 7;12:143. doi: 10.1186/1477-7819-12-143.
7
Spontaneous expulsion of a large left-colon lipoma.左半结肠大脂肪瘤的自然排出。
Rev Esp Enferm Dig. 2013 Sep;105(8):501-2. doi: 10.4321/s1130-01082013000800013.
8
Giant lipoma of the transverse colon causing colo-colonic intussusceptions.横结肠巨大脂肪瘤致结肠结肠型肠套叠。
J Visc Surg. 2012 Dec;149(6):421-2. doi: 10.1016/j.jviscsurg.2012.04.006. Epub 2012 May 10.
9
Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas.直肠自发性排出：肠脂肪瘤的罕见表现。
World J Emerg Surg. 2011 Jun 13;6:19. doi: 10.1186/1749-7922-6-19.