Endoscopic Resection of a Colonic Lipoma Under Endoscopic Ultrasound Guidance

Ochiai, Toshiaki; Akahoshi, Kazuya; Hamada, Shohei; Chijiíwa, Yoshiharu; Nawata, Hajime; Namoto, Masaaki

doi:10.1055/s-2007-1001333

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“…Colonic lipomas appear as hyperechoic lesions with regular borders in the three layers and can be distinguished from smooth muscle tumors, lymphangiomata, and invasive or metastatic malignancies [25] . EUS can be used to determine any extension into the muscularis propria before injectionassisted polypectomy of symptomatic lipomas [26] . Recently, CT colonographic examination (virtual colonoscopy) has been performed to detect colonic lipomas [27] .…”

Section: Discussionmentioning

confidence: 99%

Cecal lipoma with pseudomalignant features: A case report and review of the literature

Katsinelos¹,

Chatzimavroudis²,

Zavos³

et al. 2007

WJG

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Colonic lipoma is a well-documented benign neoplasia, endoscopically appearing as a smooth round yellowish polyp with a thick stalk or broad-based attachment. We describe a 63-year old woman with persistent abdominal pain, in whom colonoscopy revealed a cecal mass with malignant features. Based on the colonoscopy findings, right hemicolectomy was laparoscopically performed for a presumptive diagnosis of a cecal adenocarcinoma, but histological examination revealed a colonic lipoma with overlying mucosal ulceration.

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Section: Discussionmentioning

confidence: 99%