Hayashi I, Katsuda Y, Nakahara K, Furusawa M, Nobe Y, Koga M
Gan No Rinsho. 1983 Oct;29(12):1476-9.
A rare case of lipohyperplasia of the ileocecal valve contiguous with adenocarcinoma of the ascending colon is reported. The patient was a 67-year-old female with a chief complaint of muco-bloody stool. Barium enema X-ray study revealed a filling defect in the proximal portion of the ascending colon, suggestive of Borrmann II-type carcinoma and enlargement of the ileocecal valve. Ileocecotomy and right colectomy were performed. Histological examination disclosed that the tumor of the ascending colon consisted of well differentiated adenocarcinoma; the proliferation of fat tissue in the submucosa of the ileocecal valve was diagnosed as lipohyperplasia of the ileocecal valve. The histogenesis of this lipohyperplasia seems to be secondary development induced by the adenocarcinoma of the ascending colon.
报告了一例罕见的回盲瓣脂肪增生合并升结肠癌病例。患者为67岁女性,主要症状为黏液血便。钡剂灌肠X线检查显示升结肠近端有充盈缺损,提示Borrmann II型癌及回盲瓣增大。行回盲部切除术和右半结肠切除术。组织学检查发现升结肠肿瘤为高分化腺癌;回盲瓣黏膜下层脂肪组织增生被诊断为回盲瓣脂肪增生。这种脂肪增生的组织发生似乎是由升结肠癌诱导的继发性发育。