Yeom JO, Kim SY, Jang EC, Yu JY, Chang ED, Cho YS. Colonic lipoma covered by hyperplastic epithelium: Case report. World J Clin Cases 2013; 1(3): 124-127 [PMID: 24303482 DOI: 10.12998/wjcc.v1.i3.124]
Corresponding Author of This Article
Young-Seok Cho, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, the Catholic University of Korea College of Medicine, 65-1 Geumo-dong, Uijeongbu 480-717, South Korea. yscho@catholic.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Clin Cases. Jun 16, 2013; 1(3): 124-127 Published online Jun 16, 2013. doi: 10.12998/wjcc.v1.i3.124
Colonic lipoma covered by hyperplastic epithelium: Case report
Ju-Ok Yeom, Sun-Young Kim, Eun-Chul Jang, Ji-Youn Yu, Eun Deok Chang, Young-Seok Cho
Ju-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
Eun Deok Chang, Departement of Cilinical Pathology, Uijeongbu St. Mary’s Hospital, the Catholic University of Korea College of Medicine, Uijeongbu 480-717, South Korea
Author contributions: Yeom JO drafted and edited the manuscript; Kim SY and Jang EC treated the patient; Yu JY and Chang ED contributed to the literature review; Cho YS performed the procedure and contributed to the final approval.
Correspondence to: Young-Seok Cho, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, the Catholic University of Korea College of Medicine, 65-1 Geumo-dong, Uijeongbu 480-717, South Korea. yscho@catholic.ac.kr
Telephone: +82-31-8203658 Fax: +82-31-8472719
Received: January 4, 2013 Revised: April 5, 2013 Accepted: May 9, 2013 Published online: June 16, 2013 Processing time: 161 Days and 9.3 Hours
Abstract
Colonic lipomas are submucosal nonepithelial tumors covered by intact or eroded mucosa. In rare cases, alterations in the mucosa covering a lipoma include hyperplasia, adenoma, atrophy, ulceration, and necrosis. Here, we report a case of a colonic lipoma covered by hyperplastic epithelium in a 68-year-old woman. Based on the colonoscopy findings, a snare polypectomy was performed for a presumptive diagnosis of an epithelial lesion; however, the histological examination revealed a colonic submucosal lipoma with overlying hyperplastic epithelium.
Core tip: we report a rare case of a colonic lipoma with overlying hyperplastic epithelium. Removing an asymptomatic colonic lipoma is not necessary, as it may have no clinical significance. However, treatment plans for colonic lipomas might be reconsidered as transformation of the mucosa lining of a lipoma could occur in small and asymptomatic lesions.
