Indira Gandhi Institute of Medical Sciences, India.
BIG Apollo Spectra Hospitals, India.
Ann R Coll Surg Engl. 2024 May;106(5):401-406. doi: 10.1308/rcsann.2023.0063. Epub 2023 Oct 12.
Gastrointestinal (GI) lipomas are rare; however, they are frequent enough to be considered in the differential diagnosis of gut tumours. Here, we present our experience with GI lipomas managed at our institute over the last three years.
This is a retrospective cohort study of patients with GI lipomas managed between January, 2020 and April, 2023 at a tertiary care centre. Clinical presentation, location, and details of surgical procedure were analysed.
Ten patients were included, six of whom had lipoma in the colon, one in the stomach, and one each in the duodenum, jejunum, and ileum. The mean age at the time of presentation was 48.8 years (range, 19-77 years), and strong male preponderance (4:1) was noted. Preoperative diagnosis of lipoma on cross-sectional imaging was possible in all patients. All patients were symptomatic and were managed surgically.
While GI lipomas are generally considered to be indolent and benign tumours, they can potentially lead to severe complications. The utilisation of computed tomography and magnetic resonance imaging has brought about a significant transformation in diagnosing this condition, enabling preoperative identification in most cases. The surgery offers a definitive treatment with minimal risk of postoperative complications.
胃肠道（GI）脂肪瘤罕见，但因其在肠道肿瘤的鉴别诊断中较为常见，故足以被考虑在内。在此，我们报告了过去三年中在我们研究所治疗的胃肠道脂肪瘤的经验。
这是一项回顾性队列研究，纳入了 2020 年 1 月至 2023 年 4 月期间在一家三级保健中心接受治疗的胃肠道脂肪瘤患者。分析了临床特征、肿瘤位置和手术细节。
共纳入了 10 名患者，其中 6 名患者的脂肪瘤位于结肠，1 名位于胃，1 名分别位于十二指肠、空肠和回肠。就诊时的平均年龄为 48.8 岁（19-77 岁），明显偏向男性（4:1）。所有患者的横断面成像均能术前诊断为脂肪瘤。所有患者均有症状，均接受了手术治疗。
虽然胃肠道脂肪瘤通常被认为是惰性和良性肿瘤，但它们可能导致严重的并发症。计算机断层扫描和磁共振成像的应用在诊断这种疾病方面带来了重大转变，使大多数情况下能够在术前识别。手术是一种确定性的治疗方法，术后并发症的风险极小。
