成功进行伴有上覆腺瘤的结直肠脂肪瘤内镜下黏膜下剥离术。
Successful endoscopic submucosal dissection of colorectal lipoma with an overlying adenoma.
作者信息
Furuta Akito, Omoto Shunsuke, Inoue Taro, Yanai Mitsuru, Iwabe Hideo, Takihara Hiroshi, Ishibashi Kohei, Tanaka Hironori, Matsuura Ko, Ogata Shunsuke, Yokomura Akitaka, Hoshikawa Masato, Kono Michihito, Koriyama Takasi, Tazawa Tomohiko, Tsuyuguchi Eri, Yamasaki Yasuo, Esumi Shun, Tsuruta Yoshimasa, Shishimoto Takahiro, Yamamoto Masaki, Ono Wataru
机构信息
Department of Gastroenterology Kishiwada Tokushukai Hospital Kishiwada Japan.
Department of Gastroenterology Kindai University Faculty of Medicine Osaka-sayama Japan.
出版信息
JGH Open. 2023 May 26;7(6):456-457. doi: 10.1002/jgh3.12901. eCollection 2023 Jun.
We report the case of a 65-year-old woman whose colonoscopy revealed a soft submucosal tumor approximately 7 cm in diameter in the ascending colon with an overlying flat lesion. The tumor was diagnosed as a lipoma with an overlying adenoma. Endoscopic submucosal dissection (ESD) was performed. Pathological examination revealed that the epithelium was a low-grade tubulovillous adenoma, while the submucosal yellow tumor was a lipoma. ESD appears to be a safe and effective treatment for colorectal lipomas overlying lipomas with colorectal adenomas.
我们报告了一例65岁女性病例，其结肠镜检查显示升结肠有一个直径约7厘米的柔软黏膜下肿瘤，上方有一个扁平病变。该肿瘤被诊断为脂肪瘤伴上方腺瘤。进行了内镜下黏膜剥离术（ESD）。病理检查显示上皮为低级别管状绒毛状腺瘤，而黏膜下黄色肿瘤为脂肪瘤。ESD似乎是治疗伴有结直肠腺瘤的结直肠脂肪瘤的一种安全有效的方法。
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