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相關文獻
- Endoscopic Resection of a Large Colonic Leiomyoma
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題名 | Endoscopic Resection of a Large Colonic Leiomyoma=以內視鏡切除一大型結腸平滑肌瘤 |
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作者 | 李宜霖; 董水義; 李錦輝; 邱正堂; 吳正雄; Lee, I-lin; Tung, Shui-yi; Lee, Kan-fai; Chiu, Cheng-tang; Wu, Cheng-shyong; |
期刊 | 長庚醫學 |
出版日期 | 20020100 |
卷期 | 25:1 2002.01[民91.01] |
頁次 | 頁39-44 |
分類號 | 415.5091 |
語文 | eng |
關鍵詞 | 平滑肌瘤; 大腸; 大腸鏡; 息肉切除術; Leiomyoma; Colon; Colonoscopy; Polypectomy; |
中文摘要 | 我們報告一位48歲的男性病患,因腹痛及血便至本院求診。大腸鏡檢查發現於橫結腸處有一4.5公分大的腫瘤。我們先使用生理食鹽水作黏膜下注射,再施以息肉切除術,成功地完全切除此腫瘤。術後病人並無明顯的併發症產生,且術前症狀也消失。 文獻上從未報告大於3公分的大腸平滑肌腫瘤,可以使用內視鏡的方法切除。本病歷的腫瘤高達4.5公分,還是可以使用大腸鏡成功地摘除。如此一來,不僅減少了治療的費用,並且避免了不必要的手術危險。 |
英文摘要 | A 48-year old man suffered from intermittent hematochezia and abdominal champing over a period of four weeks. A colonoscopy reveald a 4.5 cm semi-pedunculated tumor in the transverse colon. Using a 2-channel colonoscope, the tumor was successfully removed with an electro-surgical snare after normal saline submucosal injection. Microscopic examination revealed it to be a smooth muscle tumor without mitosis. The patient recovered well, and did not have a residual tumor in a follow-up colonoscopy. We found no reports of a colonic leiomyoma larger than 3 cm which was completely removed by a colonoscopy. According to the case presented here, intraluminal colonic leiomyoma can be completely resected with skillful manipulation of a colonoscope, even if the tumor is as large as 4.5 cm. Successful endoscopic polypectomy of colonic leiomyoma reduces the cost of treatment and eliminates unnecessary surgery. |
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