Korean J Gastrointest Endosc > Volume 35(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(5): 355-358.
내시경 절제로 완치된 대장 거대 지방종 1예
황현철ㆍ임동한ㆍ오준석ㆍ김현주ㆍ이화목ㆍ고원욱ㆍ박원일ㆍ김광진ㆍ안진광ㆍ양웅석
봉생병원 내과
A Case of a Colonic Giant Lipoma Removed by Endoscopic Resection
Hyun Chul Whang, M.D., Dong Han Im, M.D., Joon Seok Oh, M.D., Hyun Ju Kim, M.D.,Hwa Mock Lee, M.D., Youn Uk Ko, M.D., Won Il Park, M.D., Kwang Jin Kim, M.D., Jin Kwang An, M.D. and Ung Suk Yang, M.D.
Division of Gastroenterology, Department of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea
Abstract
A gastrointestinal lipoma, though rare, is a mesencymal tumor of the large bowel, and the second most common benign colonic tumor detected after an adenomatous polyp. The lesion may be asymoptomatic when small and may be detected incidentally, usually during a colonoscopic examination for another purpose. Lipomas of the large bowel that are not causing symptoms probably need no treatment, as malignant transformation has not been documented. If the mass is large, it can cause pain, anal bleeding due to intussusception, bowel obstruction and diarrhea, and thus resection should be considered. Due to the risk of perforation, endoscopic resection of large colonic lipomas has been discouraged. However, large colonic lipomas can be removed safely by endoscopic resection with the use of an endoscopic ultrasonogram and submucosal injection to elevate the lesion. (Korean J Gastrointest Endosc 2007;35:355-358)
Key Words: Colon lipoma, Endoscpic resction
주요어: 대장 지방종, 내시경 절제
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