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A case of leiomyoma of the descending colon diagnosed and cured by endoscopic polypectomy



A case of leiomyoma of the descending colon diagnosed and cured by endoscopic polypectomy



Gastroenterological Endoscopy 31(7): 1868-1872



This case report describes a 67-year-old man with a leiomyoma of the descending colon. The patient was admitted to hospital to receive a through physical checkup in January 1987. Barium enema examination then revealed a spherical polyp about 7mm in diameter in the descending colon. Colonoscopic examination in April 1988 showed a semi-pedunculated polyp covered with almost normal appearing colonic mucosa. At the same time, endoscopi snare polypectomy was performed. The resected tumor was 7 .times. 6 4mm in size and was histologically diagnosed as a submucosal leiomyoma. The leiomyoma is rare in colon and rectum as compared to other parts of the gastrointestinal tract. In Japan, about 150 cases of leiomyoma of the colon and rectum have been reported, and endoscopic polypectomy was performed only in the 18 cases, including the present case. The endoscopic polypectomy is thought to be useful for the therapy of small pedunculated or semi-pedunculated colorectal leiomyoma of intracolic type.

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Accession: 006932725

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