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A Giant Fibroma of the Transverse Colon M. Beppu 1 , K. Sugitani 2 , S. Yoshimoto 3 , T. Ohta 4 1Department of Surgery, Hyogo Prefectural Hospital 2Department of Internal Medicine, Hyogo Prefectural Hospital 3Department of Radiology, Hyogo Prefectural Hospital 4Department of Pathology, Hyogo Prefectural Hospital pp.1407-1412
Published Date 1979/10/25
DOI https://doi.org/10.11477/mf.1403107809
  • Abstract
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 A 32 year-old female was seen on May 22, 1976, with a complaint of abdominal distension. A round, firm, 12~13cm in diameter and smooth tumor was palpated on her right abdomen. Barium enema study showed that the transverse colon was displaced downwards, and a diverticulum-like shadow located at the proximal transverse colon was tracted medially and twisted. Superior mesenteric angiogram demonstrated several tumor vessels, which were irregular in diameter and distorted, in the branches of the middle colic artery, while neovascularization and tumor stain were not seen in this area. The histological diagnosis of biopsy specimens taken under laparoscopy was fibroma. The operation was performed under the diagnosis of primary fibroma at the transverse colon with an extraluminal growth. The total extirpation of the tumor was performed with partial transverse colectomy and partial resection of jejunum and ileum. The tumor was 11× 14×10 cm in size, 770 g in weight, and with a whitish somewhat pink color and a firm, homogenous consistency. It is thought that the tumor has grown out from a part of the wall of the proximal transverse colon, and has had an extraluminal growth. The histology of the resected specimen was fibroma. Fibroma of the colon and rectum is such a rare tumor that only 7 cases have been reported in Japan. The case disclosed interesting and specific characteristics of radiologic and angiographic appearances and operative findings and a review of relevant literatures were made.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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