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《Chinese Journal of Gastrointestinal Surgery》 2002-04
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Diagnosis and treatment of colonic lipomas

LI Zhiyu,QIN Jianzhang,WANG Jianping. Department of General Surgery,The First Affiliated Hospital,Sun Yat sen University,Guangzhou 510080,China  
Objective To improve the preoperative diagnostic accuracy and therapeutic effect on colonic lipoma. Methods Data of 10 symptomatic colonic lipoma cases aged from 24 to 75 in our hospital during 1971~2002 were reviewed, including the illness history, imaging results and therapeutic procedure. Results All the cases had clinic symptoms. The size of the masses varied from 3 5 to 8 cm. Barium enema confirmed the right diagnosis preoperatively in 1 case (1/8), while colonoscopy in 2 cases (2/5), and CT in 3 cases (3/3). The total preoperative diagnostic accuracy was 60% (6/10). 9 cases underwent segmental colonic resection or hemi colectomy, and 1 case underwent colonoscopic removal by snare electrocautery. All the cases were cured. Conclusions Among all the preoperative diagnostic methods of colonic lipoma, CT is the most valuable. The symptomatic cases should receive segmental colonic resection or colonoscopic removal by snare electrocautery.
【CateGory Index】: R735.35
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【Co-references】
Chinese Journal Full-text Database 4 Hits
1 XU Qing, CHEN Jinxian, CUI Zhe, WANG Zheng, WANG Pingzhi. Department of General Surgery, Shanghai Second Medical University Renji Hospital, Shanghai (200001);Diagnosis and Treatment of Intestinal Lipoma[J];Chinese Journal of Gastroenterology;2004-03
2 ;Case report:lipoma of the transverse colon with intussusception[J];Journal of Medical Imaging;2004-06
3 Zhang Xiaopeng Department of Radiology, School of Oncology, Beijing University, No. 52, Fucheng road, Haidian District, Beijing 100036;Imaging of the Colon Tumors[J];Chinese Journal of Medical Computed Imaging;2001-02
4 ZHANG Si-yu (Department of Surgery,The First Hospital of Xiamen, Xiamen,Fujian 361000,China);Lipoma of the large intestine:a report of 15 cases[J];Chinese Journal of General Surgery;2003-04
【Secondary References】
Chinese Journal Full-text Database 1 Hits
1 LIU Ye,XU Qing,LUO Meng (Department of General Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China);Diagnosis and treatment of intestinal lipoma[J];Chinese Journal of General Surgery;2009-09
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