Vogt W, Allemann J, Simeon B, Fornaro M, Rehli V
Chirurgische Klinik, Kantonales Spital Walenstadt.
Praxis (Bern 1994). 1995 Apr 18;84(16):469-72.
This is a case report of a gastric lipoma causing a severe upper gastrointestinal bleeding. About 200 cases of this very rare benign gastric tumor have been reported so far. Symptoms are not characteristic, but may also mimic malignancy when occurring with bleeding, obstruction or weight loss. Malignant transformation is possible, but extremely rare. Because the tumor is situated under the submucosal layer in 90%, preoperative diagnosis by endoscopic biopsy is almost never possible. The tumor has to be treated by resection. A diagnosis by frozen section during the operation is recommended.
这是一例胃脂肪瘤导致严重上消化道出血的病例报告。迄今为止，已报告约200例这种极为罕见的胃良性肿瘤。症状不具有特异性，但在伴有出血、梗阻或体重减轻时也可能类似恶性肿瘤。恶性转化是有可能的，但极为罕见。由于90%的肿瘤位于黏膜下层，术前通过内镜活检几乎无法确诊。该肿瘤必须通过切除进行治疗。建议在手术过程中进行冰冻切片诊断。
