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虽然脂肪性病灶是大肠第二个最常见的良性肿瘤,但临床上相对少见.作者复习50年来伦敦医院病理研究室所收集的13例大肠脂肪性病灶,计女性8例、男性5例,平均年龄59岁(35～78岁).检查包括钡剂灌肠(7例)、结肠镜检(7例)、选择性肠系膜上动脉造影(3例).术前诊断结肠癌5例、血管发育不良或其他血管畸形3例、肠套迭1例.8例施行局限的结肠切除,5例切除结节,包括所复盖的粘膜.病理诊断为粘膜下脂肪瘤10例、回盲瓣脂肪增生3例.大体观察,粘膜下脂肪瘤具有分叶状黄白色外观,直径多
Although fatty lesions are the second most common benign tumor of the large intestine, they are relatively rare in clinical practice. The author reviewed 13 cases of large intestine fatty lesions collected by the London Hospital Pathology Laboratory over the past 50 years, including 8 females and 5 males. Age 59 (35-78 years old). Examination included barium enema (7 cases), colonoscopy (7 cases), selective superior mesenteric artery angiography (3 cases). Preoperative diagnosis of colon cancer in 5 cases, vascular dysplasia 3 cases of other vascular malformations, 1 case of intussusception, 8 cases of limited colon resection, 5 cases of nodules, including the covered mucosa. Pathological diagnosis of submucosal lipoma in 10 cases, ileocecal lipomatosis 3 In general observation, submucosal lipomas have a lobulated yellow-white appearance with multiple diameters.