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Colonic lipoma covered by hyperplastic epithelium: Case report.
Ju-Ok Yeom1, Sun-Young Kim, Eun-Chul Jang
1Ju-Ok Yeom, Sun-Young Kim, Eun-Chul Jang, Ji-Youn Yu, Young-Seok Cho, Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, the Catholic University of Korea College of Medicine, Uijeongbu 480-717, South Korea.
World Journal of Clinical Cases
|December 5, 2013
Summary
Colonic lipomas are rare submucosal tumors. This case highlights a colonic lipoma covered by hyperplastic epithelium, initially misdiagnosed as an epithelial lesion during colonoscopy.
Area of Science:
- Gastroenterology
- Gastrointestinal Pathology
- Surgical Oncology
Background:
- Colonic lipomas are benign submucosal tumors, typically asymptomatic.
- Mucosal alterations over lipomas are uncommon but can include hyperplasia, adenoma, atrophy, ulceration, and necrosis.
Observation:
- A 68-year-old woman presented with a colonic lesion identified during colonoscopy.
- The lesion was initially presumed to be an epithelial neoplasm based on endoscopic appearance.
Findings:
- Histological examination revealed a submucosal colonic lipoma.
- The lipoma was covered by hyperplastic colonic epithelium, mimicking an epithelial lesion.
Implications:
- This case underscores the importance of histological examination for accurate diagnosis of colonic submucosal lesions.
- Understanding the varied mucosal presentations of colonic lipomas is crucial for appropriate endoscopic and surgical management.
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