Gastrointestinal yerleşimli lipomalar: 19 olgunun retrospektif analizi
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Date
2021-08-26
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Bursa Uludağ Üniversitesi
Abstract
Bu tanımlayıcı çalışmada gastrointestinal sistem yerleşimli lipoma tanısı alan olguların sunulması ve bu tümörlerin klinikopatolojik özelliklerinin literatür bilgileri eşliğinde değerlendirilmesi amaçlanmıştır. Çalışmamızda Tıbbi Patoloji Anabilim Dalı arşivi taranarak gastrointestinal sistem yerleşimli lipoma tanısı alan 19 olgu retrospektif olarak incelendi. Olguların 11'i kadın (%57,9), 8'i erkekti (%42,1). Ortalama yaş değeri 62,3 yaş olarak saptandı (yaş dağılımı 36-78). 19 olgunun 14'ü kolon, 3'ü ince barsak, 1'i mide ve 1'i rektum yerleşimliydi. Angiolipoma tanısı alan inen kolon yerleşimli tek olgu dışında kalan tüm olgular klasik lipoma morfolojsindeydi. Genellikle insidental olarak saptanan lipomalar, obtrüksiyon, intusepsiyon ve kanama gibi ciddi gastrointestinal semptomlara yol açabilen, adenokarsinomalara eşlik edebilen ve malignitelerle ayırıcı tanısı yapılması gereken tümörlerdir. Tüm olgular operasyon öncesinde uygun radyolojik ve endoskopik yöntemlerle incelenmeli ve her olgu için en uygun tedavi seçeneği değerlendirilmelidir.
In this descriptive study, we aimed to present lipoma cases diagnosed in the gastrointestinal tract and to evaluate the clinicopathological features of these tumors based on literature review. In this study, patient files of 19 cases diagnosed with lipoma of the gastrointestinal tract were retrospectively reviewed from the archives of the Department of Pathology of Faculty of Medicine. Eleven of the cases were female (%57,9), and eight (42,1%) were male. The mean age was 62,3 years (range: 36-78 years). Of the 19 cases, 14 were located in the colon, 3 in the small intestine, 1 in the stomach and 1 in the rectum. The classical morphology of lipoma was seen in all cases except one case that was diagnosed with angiolipoma located in the descending colon. Generally, incidentally detected lipomas, which can be accompanied by adenocarcinomas, are tumors that can lead to gastrointestinal symptoms such as obstruction, intussusception and bleeding, and differential diagnosis of malignancies is required. All cases should be examined by appropriate radiological and endoscopic methods before operation and the most appropriate treatment option should be evaluated for each case.
In this descriptive study, we aimed to present lipoma cases diagnosed in the gastrointestinal tract and to evaluate the clinicopathological features of these tumors based on literature review. In this study, patient files of 19 cases diagnosed with lipoma of the gastrointestinal tract were retrospectively reviewed from the archives of the Department of Pathology of Faculty of Medicine. Eleven of the cases were female (%57,9), and eight (42,1%) were male. The mean age was 62,3 years (range: 36-78 years). Of the 19 cases, 14 were located in the colon, 3 in the small intestine, 1 in the stomach and 1 in the rectum. The classical morphology of lipoma was seen in all cases except one case that was diagnosed with angiolipoma located in the descending colon. Generally, incidentally detected lipomas, which can be accompanied by adenocarcinomas, are tumors that can lead to gastrointestinal symptoms such as obstruction, intussusception and bleeding, and differential diagnosis of malignancies is required. All cases should be examined by appropriate radiological and endoscopic methods before operation and the most appropriate treatment option should be evaluated for each case.
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Keywords
Gastrointestinal sistem, Mezenkimal tümörler, Lipoma, Tedavi, Semptom, Gastrointestinal tract, Mesenchymal tumors, Lipoma, Treatment, Symptoms
Citation
Özşen, M. vd. (2021). ''Gastrointestinal yerleşimli lipomalar: 19 olgunun retrospektif analizi''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 47(2), 273-277.