Large Submucosal Lipoma of the Colon: A Case Report

一大型大腸脂肪瘤：病例報告

邱信輝(Hsin-Hui Chiu) ； 黃太謙(Tai-Chien Huang) ； 康婉儀(Wan-Yi Kang) ； 柯天龍(Tien-Lung Ko) ； 許友國(Joe Hergens Li)

《南臺灣醫學雜誌》 4卷2期 (2008/09) Pp. 104-107

https://doi.org/10.6726/MJST.200809_4(2).0005

摘要

大腸脂肪瘤在臨床上是較為少見的大腸良性腫瘤。我們報告一例72歲女性病患因半個月腹部不適來診，大腸鏡檢查發現有兩個腺瘤性息肉分別位於升結腸及乙狀結腸，以切片夾將兩者移除。另外在升結腸處又有一向管腔突出之大型腫瘤有著正常黏膜覆蓋，但太大無法以內視鏡切除。腹部電腦斷層亦發現一3公分脂肪性之腫瘤位於升結腸處。之後病人接受開刀將腫瘤切除，術後病理組織切片結果証實為一分化良好脂肪瘤。病人症狀完全改善在住院第10天出院，在追蹤3個月並無腹部不適之情形再發生。

關鍵字

脂肪瘤 ； 大腸 ； 內視鏡

並列摘要

Lipoma of the colon is a relatively rare benign tumor of the colon. We report a 72-year-old woman with ascending colon lipoma presenting as periumbilical discomfort of a half-month duration. Colonoscopy revealed two tubular adenomatous polyps in the ascending colon and sigmoid colon, respectively, and they were completely removed using biopsy forceps. There was also a large, soft and bulging tumor mass with normal overlying mucosa in the ascending colon, but it was too large for endoscopic resection. Computed tomographic scans of the abdomen showed a 3.0 cm well-defined tumor with fat density protruding into the lumen of the ascending colon. Colotomy with tumor excision was performed and the histopathological finding of the resected tumor was proven to be a lipoma. The patient was discharged uneventally on the 10th hospital day and was asymptomatic after 3 months follow-up.

並列關鍵字

lipoma ； colon ； endoscopy