小腸腺筋腫を合併した結腸脂肪腫の1例-本邦報告例の集計

概要

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Incidence of colonic lipoma is relatively low and small intestinal adenomyoma is extremely rare. We have recently experienced a case of colonic lipoma associated with jejunal adenomyoma. A 66-year-old male who had complained of waterly diarrhea, was diagnosed as colonic cancer and right hemicolectomy combined with partial jejunal resection for an accidentally found jejunal lesion were performed. The pathohistological findings of the the resected specimens showed the transverse colonic lipoma and the jejunal adenomyoma. We reviewed 136 cases of the colonic lipoma and 14 cases of the small intestinal adenomyoma including author's case in the Japanese literatures. The mean of age in the colonic lipoma was 55.1 years old. This tumor was located in transverse colon and cecum in 56.4% of these cases. Because the preoperative correct diagnostic rate was less than 10%. Intestinal resection was undergone in more than 75% of cases without definite diagnosis. Most of the small intestinal adenomyoma were found under 10 years old.<BR>This is the first case of a patient with both colonic lipoma and jejunal adenomyoma in this country.
日本大腸肛門病学会の論文