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SUBMUCOUS LIPOMAS OF THE COLON

SUBMUCOUS LIPOMAS OF THE COLON Abstract FOR MANY years surgeons have been unusually interested in submucous lipomas of the gastrointestinal tract because of their rarity, bizarre symptomatology, difficulty of diagnosis and the good prognosis after resection. Submucous lipomas have been found along the gastrointestinal tract from the hypopharynx to the rectum. When found in the stomach or small bowel they are usually small and rarely cause symptoms. The colon has the highest incidence of submucous lipomas, and here they sometimes become bulky and cause obstruction. Of the benign tumors of the intestinal tract, lipomas are second in frequency to adenomatous polyps. The last survey of the literature was made by Gault and Kaplan1 in 1941, and, including their cases, there were only 130 cases of submucous lipoma of the colon reported. Of these, 111 were clinical cases and the rest were found at autopsy. Since their summary, cases have been reported by Lazarus and Marks, References 1. Gault, T., and Kaplan, P.: Submucous Lipoma of the Colon , Am. J. Surg. 53:145 ( (July) ) 1941.Crossref 2. Lazarus, A., and Marks, M.: Submucous Lipomas of Colon with Special Reference to Acute and Chronic Intussusception , Am. J. Surg. 70:114 ( (Oct.) ) 1945.Crossref 3. Browne, D. C., and McHardy, G.: Submucosal Colon Lipomas , Clinics 3:622 ( (Oct.) ) 1944. 4. Saint, J. H.: Chronic Intussusception Due to Submucous Lipoma of Ascending Colon , Am. J. Surg. 58:414 ( (Dec.) ) 1942.Crossref 5. Barnes, F. L., and Barnes, J. P.: Lipoma of the Colon , South. Surgeon 9:853 ( (Dec.) ) 1940. 6. Cooper, H. G. N.: Intussusception in an Adult Due to a Lipoma , Brit. M. J. 1:328 ( (Feb. 18) ) 1939. 7. Moore, E. C.: Obstructive Submucous Lipoma of the Cecum , California & West. Med. 60:21 ( (Jan.) ) 1944. 8. Mallory, T. B.: Case Records of the Massachusetts General Hospital: Meig's Case 27042 , New England J. Med. 224:168 ( (Jan. 23) ) 1941. 9. Anderson and Fansler: Submucous Lipomas of the Rectum , Lancet 59:4 ( (Jan.) ) 1939. 10. Clagett, O. T.: Lipoma of Cecum , Proc. Staff Meet., Mayo Clinic 14:505 ( (Aug.) ) 1939. 11. Didier, R.: Submucous Lipomas of the Cecum, Two Cases , Arch. d. mal. de l'app. digestif. 28:1070 ( (Dec.) ) 1938. 12. Morton: Submucous Lipomas of the Colon , Bull. Vancouver M. A. 16:287 ( (July) ) 1940. 13. Spatolisano, B.: A Case of Lipoma of the Descending Colon , Rassegna internaz. clin. e terap. 27:45, 1947. 14. Pack, G. T., and Booher, R. J.: Intussuscepting Submucous Lipoma of the Right Colon , S. Clin. North America 27:361, 1947. 15. Staemmler, M.: Das Lipom in die Neubildungen des Darmes , Stuttgart, Ferdinand Enke, 1924, pt. 1, p. 273. 16. Comfort, M. W.: Submucous Lipoma of the Gastrointestinal Tract with a Report of Twenty-Eight Cases , Surg. Gynec. & Obst. 52:108, 1931. 17. Kirshbaum, J. D.: Submucous Lipomas of the Intestinal Tract as a Cause for Intestinal Obstruction , Ann. Surg. 101:734, 1935. 18. Humphreys, E.: Personal communication to the authors. 19. L. N. (case 7), a 60 year old housewife, was operated on Dec. 18, 1946, and a carcinoma of the ascending colon was found. As no distant metastasis had occurred, a colectomy was performed on the right side. Examination of the specimen revealed a napkin ring constricting ulcerated carcinoma 14 cm. above the ileocecal valve. As an incidental finding 2 cm. above the ileocecal valve there was a soft fluctuant pedunculated mucosal nodule 1.5 cm. in diameter. Microscopic examination of this showed it to be a benign nonulcerated submucosal lipoma (fig. 1). 20. This case was reported by Dr. O. C. Julian in the April 1939 issue of Radiology. 21. Pemberton, J. De J., and McCormack, C. J.: Submucous Lipomas of the Colon and Rectum , Am. J. Surg. 37:205, 1937. 22. Manheim, S. D., and Peskin, H.: Spontaneous Elimination of a Lipoma from the Sigmoid Flexure , J. A. M. A. 118:1214 ( (April 4) ) 1942. 23. Backenstoe, G. S.: Spontaneous Expulsion of Submucous Lipoma of Cecum , Pennsylvania M. J. 44:21 ( (Oct.) ) 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

SUBMUCOUS LIPOMAS OF THE COLON

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Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240040117009
Publisher site
See Article on Publisher Site

Abstract

Abstract FOR MANY years surgeons have been unusually interested in submucous lipomas of the gastrointestinal tract because of their rarity, bizarre symptomatology, difficulty of diagnosis and the good prognosis after resection. Submucous lipomas have been found along the gastrointestinal tract from the hypopharynx to the rectum. When found in the stomach or small bowel they are usually small and rarely cause symptoms. The colon has the highest incidence of submucous lipomas, and here they sometimes become bulky and cause obstruction. Of the benign tumors of the intestinal tract, lipomas are second in frequency to adenomatous polyps. The last survey of the literature was made by Gault and Kaplan1 in 1941, and, including their cases, there were only 130 cases of submucous lipoma of the colon reported. Of these, 111 were clinical cases and the rest were found at autopsy. Since their summary, cases have been reported by Lazarus and Marks, References 1. Gault, T., and Kaplan, P.: Submucous Lipoma of the Colon , Am. J. Surg. 53:145 ( (July) ) 1941.Crossref 2. Lazarus, A., and Marks, M.: Submucous Lipomas of Colon with Special Reference to Acute and Chronic Intussusception , Am. J. Surg. 70:114 ( (Oct.) ) 1945.Crossref 3. Browne, D. C., and McHardy, G.: Submucosal Colon Lipomas , Clinics 3:622 ( (Oct.) ) 1944. 4. Saint, J. H.: Chronic Intussusception Due to Submucous Lipoma of Ascending Colon , Am. J. Surg. 58:414 ( (Dec.) ) 1942.Crossref 5. Barnes, F. L., and Barnes, J. P.: Lipoma of the Colon , South. Surgeon 9:853 ( (Dec.) ) 1940. 6. Cooper, H. G. N.: Intussusception in an Adult Due to a Lipoma , Brit. M. J. 1:328 ( (Feb. 18) ) 1939. 7. Moore, E. C.: Obstructive Submucous Lipoma of the Cecum , California & West. Med. 60:21 ( (Jan.) ) 1944. 8. Mallory, T. B.: Case Records of the Massachusetts General Hospital: Meig's Case 27042 , New England J. Med. 224:168 ( (Jan. 23) ) 1941. 9. Anderson and Fansler: Submucous Lipomas of the Rectum , Lancet 59:4 ( (Jan.) ) 1939. 10. Clagett, O. T.: Lipoma of Cecum , Proc. Staff Meet., Mayo Clinic 14:505 ( (Aug.) ) 1939. 11. Didier, R.: Submucous Lipomas of the Cecum, Two Cases , Arch. d. mal. de l'app. digestif. 28:1070 ( (Dec.) ) 1938. 12. Morton: Submucous Lipomas of the Colon , Bull. Vancouver M. A. 16:287 ( (July) ) 1940. 13. Spatolisano, B.: A Case of Lipoma of the Descending Colon , Rassegna internaz. clin. e terap. 27:45, 1947. 14. Pack, G. T., and Booher, R. J.: Intussuscepting Submucous Lipoma of the Right Colon , S. Clin. North America 27:361, 1947. 15. Staemmler, M.: Das Lipom in die Neubildungen des Darmes , Stuttgart, Ferdinand Enke, 1924, pt. 1, p. 273. 16. Comfort, M. W.: Submucous Lipoma of the Gastrointestinal Tract with a Report of Twenty-Eight Cases , Surg. Gynec. & Obst. 52:108, 1931. 17. Kirshbaum, J. D.: Submucous Lipomas of the Intestinal Tract as a Cause for Intestinal Obstruction , Ann. Surg. 101:734, 1935. 18. Humphreys, E.: Personal communication to the authors. 19. L. N. (case 7), a 60 year old housewife, was operated on Dec. 18, 1946, and a carcinoma of the ascending colon was found. As no distant metastasis had occurred, a colectomy was performed on the right side. Examination of the specimen revealed a napkin ring constricting ulcerated carcinoma 14 cm. above the ileocecal valve. As an incidental finding 2 cm. above the ileocecal valve there was a soft fluctuant pedunculated mucosal nodule 1.5 cm. in diameter. Microscopic examination of this showed it to be a benign nonulcerated submucosal lipoma (fig. 1). 20. This case was reported by Dr. O. C. Julian in the April 1939 issue of Radiology. 21. Pemberton, J. De J., and McCormack, C. J.: Submucous Lipomas of the Colon and Rectum , Am. J. Surg. 37:205, 1937. 22. Manheim, S. D., and Peskin, H.: Spontaneous Elimination of a Lipoma from the Sigmoid Flexure , J. A. M. A. 118:1214 ( (April 4) ) 1942. 23. Backenstoe, G. S.: Spontaneous Expulsion of Submucous Lipoma of Cecum , Pennsylvania M. J. 44:21 ( (Oct.) ) 1940.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1949

References