Featured Research

from universities, journals, and other organizations

The Largest Colonic Lipoma To Date

Date:
October 26, 2007
Source:
World Journal of Gastroenterology
Summary:
Colonic lipoma is an uncommon tumor of the gastrointestinal tract. Most cases are asymptomatic, with a small tumor size, and do not need any special treatment. However,medical researchers have encountered one patient with a giant colonic lipoma, with a maximum diameter of 8.5 cm, which exhibited significant symptoms. To the best of their knowledge, this colonic lipoma is the largest one so far.

Colonic lipomas have been found in related literature. One extremely rare case was recently reported in the November 14 issue of the World Journal of Gastroenterology because of its maximum diameter of 8.5 cm. The article discussed age and sex factors, clinical and histopathological findings, diagnostic methods and treatment by reviewing the present case and previously available literature.

Related Articles


The article reported one patient who presented to Dr. Li-Sheng Jiang of West China Hospital of Sichuan University, China, in 2007. The patient experienced changes in bowel habits (7-10 times daily), passing fresh blood and mucus per rectum, abdominal distension, anorexia and weight loss. Dr. Li-Sheng Jiang suggested that colonoscopy or computed tomography (CT) should be performed again due to the previous unclear diagnosis, but this was refused by the patient. In view of his age, symptoms and related examinations, the possibility of colonic malignancy could not be precluded, and left hemicolectomy was subsequently planned.

At laparotomy, an 8.5 cm  by 7 cm by 6.5 cm yellowish polypoid lesion with numerous areas of ulceration on its surface was seen arising from the descending colon. The lesion almost obstructed the whole lumen, and resulted in dilatation of the proximal colon. However, microscopical examination confirmed that such a large lesion was only located on the submucosa, without invasion of the serosa. In the end, local resection was performed instead of left hemicolectomy.

The clinicopathologic features of symptomatic lipomas are summarized in table by reviewing the present case and previously available literature. The following five points have been found by Dr. Li-Sheng Jiang:

(1) the most common signs and symptoms include abdominal pain (42.4%), bleeding per rectum (54.5%) and a change in bowel habits (24.2%);

(2) there is a female predominance (66.7%) ;

(3) the most common age is the fifth or sixth decades of life;

(4) the most typical site for solitary colonic lipoma is the ascending colon (45.5%);

(5) the multiple lesions are summed in up to 6.1% of cases.

To increase the rate of preoperative diagnosis, Dr. Li-Sheng Jiang has analyzed the advantages and disadvantages of barium enema, computed tomography, magnetic resonance imaging and colonoscopy. Meanwhile, many therapeutic interventions have been introduced by reviewing the related literature.

On the basis of the present case and the published literature, Dr. Li-Sheng Jiang has proposed the indications of surgical removal and reminds us that colonic lipoma can also exist in patients with significant symptoms. This case is surely worth the attention of both doctors and the public at large.

Reference: Jiang L, Jiang LS, Li FY, Ye H, Li N, Cheng NS, Zhou Y. Giant submucosal lipoma located in the descending colon: A case report and review of the literature. World J Gastroenterol 2007; 13(42): 5664-5667


Story Source:

The above story is based on materials provided by World Journal of Gastroenterology. Note: Materials may be edited for content and length.


Cite This Page:

World Journal of Gastroenterology. "The Largest Colonic Lipoma To Date." ScienceDaily. ScienceDaily, 26 October 2007. <www.sciencedaily.com/releases/2007/10/071026095013.htm>.
World Journal of Gastroenterology. (2007, October 26). The Largest Colonic Lipoma To Date. ScienceDaily. Retrieved March 31, 2015 from www.sciencedaily.com/releases/2007/10/071026095013.htm
World Journal of Gastroenterology. "The Largest Colonic Lipoma To Date." ScienceDaily. www.sciencedaily.com/releases/2007/10/071026095013.htm (accessed March 31, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, March 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins