Colon Leiomyoma Diagnosed and Treated with Endoscopy

오하영,

doi:10.3904/kjm.2020.95.5.336

Cited by 2 publications

(3 citation statements)

References 6 publications

(13 reference statements)

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“…Leiomyomas are benign tumors that are composed of well-differentiated smooth muscle cells, which can arise from the muscularis mucosa, muscularis propria, or vascular smooth muscle. While they can occur throughout the entire digestive tract, they are more commonly found in the stomach and small intestine [1,2]. Leiomyomas are very rare in the large intestine, accounting for only about 3% of all gastrointestinal leiomyomas.…”

Section: Introductionmentioning

confidence: 99%

“…Colonic leiomyomas are often small, asymptomatic, and discovered incidentally during routine endoscopic evaluations [3,4]. However, larger lesions can sometimes cause symptoms such as abdominal pain, intestinal obstruction, rectal bleeding, and even perforations [1,2]. Many colonic leiomyomas are frequently misdiagnosed as mucosal polyps because they can present as solitary sessile intramural or intraluminal polyps.…”

Section: Introductionmentioning

confidence: 99%

“…Many colonic leiomyomas are frequently misdiagnosed as mucosal polyps because they can present as solitary sessile intramural or intraluminal polyps. Therefore, histopathological analysis plays an important role in confirming the diagnosis and differentiating them from different types of polyps [1,2,5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

Silva,

Mendes,

Gaspar

et al. 2023

Cureus

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Leiomyomas are rare, benign tumors composed of smooth muscle cells. When found in the colon, they account for only about 3% of gastrointestinal leiomyomas. Typically asymptomatic, they are often incidentally discovered during endoscopic evaluations. This report describes the case of a 71-year-old female with abdominal pain and distension, whose colonoscopy revealed a 7 mm sessile polyp in the sigmoid colon. Histological analysis confirmed it to be a submucosal leiomyoma. Although endoscopic resection is a common therapeutic strategy, surgical treatment may be necessary for larger tumors or when malignancy is suspected. This case emphasizes the limitations of polyp classification through endoscopy alone and the important role histopathological analysis continues to play in this regard. Accurately diagnosing these lesions is crucial for appropriate treatment and surveillance, namely, in the primary healthcare context. Further research is needed to improve diagnostic capabilities and reduce the need for repeat colonoscopies, reducing patient burden.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

Silva,

Mendes,

Gaspar

et al. 2023

Cureus

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Ascending Colon Leiomyoma: A Case Report of a Uncommon Case

Alotay

2024

Journal of Pharmacy and Bioallied Sciences

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A small number of gastrointestinal smooth muscle tumors are caused by leiomyoma, which are uncommon in the colon. Typically, these tumors are benign and asymptomatic. They typically affect middle-aged and older populations. They are uncommon, making up about 3% of gastrointestinal leiomyomas. During a screening colonoscopy, a 52-year-old Saudi male revealed a little, 5-mm ascending colon polyp in this case report. The polyp was transported to the pathology laboratory after being removed using a hot snare polypectomy. The histopathology report confirmed the size of the polyp (5 mm), single, firm, gray-white, polypoid 0.5 cm nodule, and the findings were consistent with inflamed submucosal leiomyoma with inflamed and ulcerated surface. No findings are suggestive of malignant changes. In conclusion, A rare benign tumor, intestinal leiomyoma, can mimic several smooth muscle tumors, especially adnexal masses, making diagnosis difficult. Though nonspecific radiological abnormalities are conceivable, huge size and extra-colic growth increase the likelihood of a diagnosis. Computed tomography (CT) can help identify benign leiomyoma from leiomyosarcoma, but tissue diagnosis is best. Histoimmunopathology is crucial to diagnosis. Small and large colonic leiomyoma polyps can be treated by snare polypectomy and wide surgical excision with follow-up. For some leiomyosarcoma patients, surgery, radiation, and chemotherapy are the main treatments.

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Colon Leiomyoma Diagnosed and Treated with Endoscopy

Cited by 2 publications

References 6 publications

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

Ascending Colon Leiomyoma: A Case Report of a Uncommon Case

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