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IR@PKUHSC  > 北京大学第三临床医学院  > 普通外科  > 期刊论文
学科主题: 外科学
题名:
巨大结肠脂肪瘤并发肠套叠误诊为结肠癌五例分析
其他题名: Giant colonic lipoma with intussusception mimicking colon cancer
作者: 陈宁; 姚宏伟; 付卫; 修典荣; 张同琳
关键词: 脂肪瘤 ; 肠套叠 ; 结肠肿瘤 ; 误诊 ; Lipoma ; Intussusception ; Colonic neoplasms ; Diagnostic errors
刊名: 中华普通外科杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.1007-631X.2009.10.017
卷: 24, 期:10, 页:834-837
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 总结巨大结肠脂肪瘤的外科诊断和治疗经验,提高对本病的认识,减少误诊.方法 回顾性分析5例被误诊为结肠癌的巨大结肠脂肪瘤合并肠套叠患者的临床资料,探讨造成误诊的原因.结果 结肠脂肪瘤是一种少见的结肠良性肿瘤,肿瘤体积增大后可出现腹痛、血便、腹部包块,甚至肠套叠、肠梗阻等症状,临床医师缺乏对其认识常将其误诊为结肠癌.钡灌肠及结肠镜检查足诊断结肠脂肪瘤的重要手段,但容易受操作者主观印象的误导;增强CT扫描能客观地反映肿瘤密度和解剖特点.外科治疗首选手术切除病变肠段.结论 巨大结肠脂肪瘤误诊率高,尤其并发肠套叠后易被诊断为结肠癌. Objective To summarize our experiences in the diagnosis and treatment of giant colonic lipoma,and enhance awareness of the disease and avoid misdiagnosis.Methods We retrospectively analyzed the clinical data of 5 cases of giant colonic lipoma that were mistaken for colon cancer,and evaluate the possible reasons of misdiagnosis.Results Colonic lipoma is an uncommon benign tumor.Most cases with larger tumor size were misdiagnosed as colon cancer when they suffered from the symptoms of abdominal pain,bloody stool,abdominal mass,even bowel obstruction and intussusception.Barium enema and colonoscopy are important diagnostic means.Contrast enhanced CT scan can provide definitive topographical information identifying a colonic lipoma.Surgical resection was performed in all the 5 cases.Conclusion Giant colonic lipoma with intussusception can mimic a colonic carcinoma leading to misdiagnosis.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73286
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 北京大学第三医院普通外科,100191

Recommended Citation:
陈宁,姚宏伟,付卫,等. 巨大结肠脂肪瘤并发肠套叠误诊为结肠癌五例分析[J]. 中华普通外科杂志,2009,24(10):834-837.
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