과형성 폴립과 유사한 모양을 보인 유경성 대장 평활근종의 내시경적 절제 |
박용완ㆍ조영석ㆍ김진수ㆍ손혜숙ㆍ김형근ㆍ김성수ㆍ채현석ㆍ최규용 |
가톨릭대학교 의과대학 내과학교실 |
Endoscopic Resection of a Pedunculated Colonic Leiomyoma Resembling a Hyperplastic Polyp |
Yong Wan Park, M.D., Young Seok Cho, M.D., Jin Soo Kim, M.D., Hye Sook Son, M.D., Hyung Keun Kim, M.D., Sung Soo Kim, M.D., Hiun Suk Chae, M.D. and Kyu Yong Choi, M.D. |
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Abstract |
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Colonic leiomyoma is a rare condition that accounts for 3% of all gastrointestinal leiomyomas. Many colonic leiomyomas are found incidentally and are sometimes confused with epithelial neoplasms. Most leiomyomas are removed surgically. However, a small peduculated leiomyoma can be removed endoscopically as it has the appearance of an adenomatous polyp. A 54 year-old man underwent a colonoscopic examination due to frequent loose stools. Colonoscopy demonstrated the presence of a small reddish polyp with a short stalk in the sigmoid colon. We performed a successful polypectomy by the use of colonoscopic snare electrocauterization. A pathological examination revealed the presence of a leiomyoma originating in the muscularis mucosa. We report a case of a small peduculated leiomyoma that was removed endoscopically, with a review of the literature. (Korean J Gastrointest Endosc 2008;37:218-221) |
Key Words:
Colonic polyps, Leiomyoma |
주요어:
대장폴립, 평활근종 |
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