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Japanese

Semi-pedunculated Lipoma of the Sigmoid Colon Which Was Success fully Removed by Endoscopic Polypectomy, Report of a Case K. Makiyama 1 , K. Murakami 1 , T. Ichimura 1 , H. Nakazato 1 , K. Hara 1 1The Second Department of Internal Medicine, Nagasaki University, School of Medicine pp.883-887
Published Date 1981/8/25
DOI https://doi.org/10.11477/mf.1403108157
  • Abstract
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 Recently we experienced a case of lipoma of the sigmoid colon which is relatively rare in Japan. The patient was a 46-year-old woman with the chief complaint of abdominal pain. Radiological and colonofiberscopic examinations led us to establish a diagnosis of submucosal tumor. The tumor was semipedunculated so as to show the peduncle when the tumor was pulled up. With the judgment that colonofiberscopic polypectomy was feasible, various preliminary tests were thoroughly performed and the patient was explained that laparotomy might possibly be required, then colonofiberscopic polypectomy was actually performed. Fortunately the tumor was successfully removed without causing any complication, resulting in a complete cure.

 Although there is a view that colonofiberscopic polypectomy is not suitable for submucosal tumor, this technique seems useful for diagnosis and treatment of such a tumor as long as it is performed by skilled persons with careful considerations for its applicability. However, this should not be attempted easily and aggressively. The matters to be taken into consideration for application of the technique together with discussion were reported in this paper.


Copyright © 1981, 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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