Baril A, Bayle J J, Boucheron S, Dano P, Meley J
Sem Hop. 1982 Dec 9;58(45):2665-8.
A case of colonic Recklinghausen neurofibromatosis found in a forty-two-year-old woman is presented. Only the colon was affected. The first symptom was rectal bleeding. Widespread polypoid lesions involving the rectum, sigmoid, left colon and part of the transverse colon were demonstrated upon barium enema and rectosigmoidoscopic examinations. As demonstrated by a review of the medical literature, colonic involvement in Recklinghausen disease is very infrequent and forms restricted to the colon are exceptional. The pathologic findings and the clinical, radiological and endoscopic features in colonic neurofibromatosis are described. It seems that total colectomy should be advocated. Our patient underwent total colectomy ten years ago and has experienced neither recurrence nor other manifestations of Recklinghausen disease.
本文报告一例42岁女性的结肠型神经纤维瘤病。仅结肠受累。首发症状为直肠出血。钡剂灌肠和直肠乙状结肠镜检查显示，直肠、乙状结肠、左半结肠及部分横结肠广泛存在息肉样病变。医学文献回顾表明，神经纤维瘤病累及结肠的情况非常罕见，仅局限于结肠的病变更是少见。文中描述了结肠神经纤维瘤病的病理表现以及临床、放射学和内镜特征。似乎应提倡行全结肠切除术。我们的患者10年前接受了全结肠切除术，术后既无复发，也未出现神经纤维瘤病的其他表现。
