升结肠颗粒细胞瘤内镜下挖除1例经验分享并文献复习

doi:10.3969/j.issn.1009-976X.2021.02.019

摘要/Abstract

摘要： 结肠颗粒细胞瘤是较罕见的结肠粘膜下肿瘤。由于多数患者没有临床症状,随着内镜体检的普及,该肿瘤偶然被发现。经内镜下结肠颗粒细胞瘤切除是安全有效的方法,对于较大的颗粒细胞瘤,可以通过内镜下辅助牵引手段,采用内镜下挖除等方式,达到内镜下完整切除肿瘤的目的。本文通过报告一例诊治经过并文献复习,探讨结肠颗粒细胞瘤特点及内镜下挖除术的辅助技巧。

关键词: 结肠, 颗粒细胞瘤, 内镜下挖除, 辅助牵引

Abstract: Colonic granulosa cell tumor is a rare submucous tumor of colon. Since most patients have no clinical symptoms, with the popularization of endoscopic physical examination, the tumor was accidentally found. Endoscopic resection of colonic granulosa cell tumor is a safe and effective method. For larger granular cell tumors, tumors can be removed by the ways of assisted traction, endoscopic excavation. This article reported on the diagnosis and treatment process of a patient and reviewed the literature to discuss the characteristics of colonic granulosa cell tumor and the skills of endoscopic excision.

Key words: colon, granulosa cell tumor, endoscopic submucosal excavation, assisted traction

中图分类号:

R735.3+5

王博智, 郑轶瑾, 王鹏浩, 李文芳, 李廷坚. 升结肠颗粒细胞瘤内镜下挖除1例经验分享并文献复习[J]. 岭南现代临床外科, 2021, 21(02): 222-225.

WANG Bo-zhi, ZHENG Yi-jin, WANG Peng-hao, LI Wen-fang, LI Ting-jian. Granular cell tumor of the ascending colon treated by endoscopic submucosal excavation： a case report and review of the literature[J]. Lingnan Modern Clinics In Surgery, 2021, 21(02): 222-225.

参考文献

[1] Johnston J, Helwig EB.Granular cell tumors of the gastrointestinal tract and perianal region: a study of 74 cases[J]. Dig Dis Sci, 1981, 26(9): 807-816.
[2] Payne-James JJ, Watkins RM.Granular cell tumour (myoblastoma): two cases and a review of the literature[J]. Br J Clin Pract, 1990, 44(8):334-3366.
[3] Endo S, Hirasaki S, Doi T, et al. Granular cell tumor occurring in the sigmoid colon treated by endoscopic mucosal resection using a transparent cap (EMR-C)[J]. J Gastroenterol,2003,38(4): 385-389.
[4] Narra SL,Tombazzi C,Datta V,et al.Granular cell tumor of the esophagus: report of five cases and review of the literature[J]. Am J Med Sci,2008,335(5): 338-341.
[5] Said Ahmad H, Mahamid M, Jawabreh Q, et al.Granular Cell Tumor of the Colon: An Exceptionally Rare Finding[J]. Isr Med Assoc J, 2020, 22(2): 125-126.
[6] Parfitt JR, McLean CA, Joseph MG, et al. Granular cell tumors of the gastrointestinal tract: expression of nestin and clinicopathological evaluation of 11 patients[J]. Histopathology, 2006, 48(4):424-430.
[7] David O,Jakate S.Multifocal granular cell tumor of the esophagus and proximal stomach with infiltrative pattern: a case report and review of the literature[J]. Arch pathol lab Med,1999,123(10): 967-973.
[8] Fukami N.What we want for ESD is a second hand！ Traction method[J]. GastrointestEndosc, 2013, 78(2): 274-276.
[9] Lee Bo-In.Debates on colorectal endoscopic submucosal dissection-traction for effective dissection: gravity is enough[J]. Clinical endoscopy,2013,46(5): 467-471.
[10] Oyama T,Kikuchi Y,Shimaya S,et al.Endoscopic mucosal resection using a hook-ing knife (hooking emr)[J]. Stomach Intest,2002,37(9): 1155-1161.
[11] Yamasaki Y, Takeuchi Y, Uedo N, et al.Efficacy of traction-assisted colorectal endoscopic submucosal dissection using a clip-and-thread technique: A prospective randomized study[J]. Dig Endosc, 2018, 30(4):467-476.
[12] Yamada S,Doyama H, Ota R,et al.Impact of the clip and snare method using the prelooping technique for colorectal endoscopic submucosal dissection[J]. Endoscopy,2016,48(3): 281-285.
[13] 高勇,樊超强,柏健鹰. 牵引技术在内镜黏膜下剥离术中的应用进展[J/CD]. 中华胃肠内镜电子杂志,2019,6(4):180-185.
[14] Hashimoto R, Hirasawa D, Iwaki T, et al.Usefulness of the S-O clip for gastric endoscopic submucosal dissection (with video)[J]. Surg Endosc, 2018, 32(2):908-914.
[15] Sakurazawa N, Kato S, Miyashita M, et al.An innovative technique for endoscopic submucosal dissection of early gastric cancer using a new spring device[J]. Endoscopy, 2009, 41(11):929-933.