An Asymptomatic Patient with Colonic Leiomyoma

Subepithelial lesions (SELs) originating from muscularis mucosae of the colon are very rare findings on endoscopy. Appropriate management of SELs involves making a correct diagnosis and estimating their malignant potential. In this case study, a 58-year-old Saudi man presented with a small, 8-mm sigmoid polyp during screening colonoscopy. The polyp was removed by hot snare polypectomy and sent to pathology laboratory. Report showed an unremarkable colonic mucosa and underlying well-circumscribed submucosal lesion composed of monotonous spindle cells. Immunohistochemical (IHC) analysis ruled out CD117-/DOG1-positive GIST and confirmed the lesion as leiomyomatous polyp. Colonic leiomyomas are usually benign and often asymptomatic and discovered during CRC screening procedures. Diagnosis is made on histology/IHC analysis since endoscopically they might be indistinguishable from other SELs. Conventional polypectomy is an appropriate treatment for small colonic leiomyoma and these benign lesions typically do not recur.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
An Asymptomatic Patient with Colonic Leiomyoma ; volume:17 ; number:1 ; year:2023 ; pages:269-274 ; extent:6
Case reports in gastroenterology ; 17, Heft 1 (2023), 269-274 (gesamt 6)

Urheber
Alkhowaiter, Saad
Alsheikh, Abdulmalik
Alotaibi, Ammar

DOI
10.1159/000533550
URN
urn:nbn:de:101:1-2024010323411653398180
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:34 MESZ

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Beteiligte

  • Alkhowaiter, Saad
  • Alsheikh, Abdulmalik
  • Alotaibi, Ammar

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