Korean J Gastrointest Endosc > Volume 38(3); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 151-155.
내시경 초음파와 내시경 용종절제술로 진단된 직장 평활근종 1예
조성환ㆍ김형욱*ㆍ양웅석
좌천봉생병원 내과, *부산대학교병원 내과
Rectal Leiomyoma Diagnosed by Endoscopic Ultrasonography and Endoscopic Polypectomy
Sung Whan Cho, M.D., Hyung Yook Kim, M.D.* and Ung Suk Yang, M.D.
Department of Internal Medicine, Bong Seng Memorial Hospital, *Pusan National University Hospital, Busan, Korea
Abstract
Leiomyoma of the rectum is a rare tumor and it usually present in 40 to 60 year-old individuals, and it is more frequent in men. It originates from either the muscularis mucosa or muscularis externa and those arising from the muscularis mucosa are typically small and they are identified incidentally in patients who are undergoing sigmoidoscopy. In contrast, the larger leiomyomas arising from the muscularis externa generally present symptoms that are consistent with rectal stenosis or a rectal mass. Endoscopic ultrasonography can help to define the tumor location, extension and size. Surgical resection is the treatment for most leiomyomas of the rectum, but endoscopic electroexcision is a safe and appropriate treatment for small polypoid rectal leiomyoma. We report here on a case of a semipedunculated rectal leiomyoma in a 59 year-old female patient. It was found incidentally during a colonoscopic examination and it was diagnosed by endoscopic ultrasonography. We performed endoscopic mucosal resection with colonoscopic snare electrocoagulation. (Korean J Gastrointest Endosc 2009;38:151-155)
Key Words: Leiomyoma, Endoscopic ultrasonography, Polypectomy
주요어: 직장평활근종, 내시경 초음파, 내시경 용종절제술
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