Özet:

This identifying study aims to present the detected phenomena of gastrointestinal system-installed lipoma and to evaluate the clinic pathological characteristics of these tumors in conjunction with literary information. In our study, the archive of the Medical Pathology Anabolic Division was scaned and the gastrointestinal system-instated lipoma was identified as 19 facts retrospective. A total of 19 facts that have been diagnosed with the gastrointestinal system have been detected. 11 of the cases were female (57.9%), 8 male (42.1%). The age distribution of the cases varies between the ages of 36 and 78 and the average age is 62.3+9 years old. Of the 19 phenomena, 1 was in the stomach, 3 in the thin bark, 14 in the colon and 1 in the rectum. All the remaining phenomena, except the single occurrence located in the lower colon that was diagnosed with angiolipoma, were in the classical lipoma morphology. Often accidentally detected lipomas are tumors that can lead to severe gastrointestinal symptoms such as obstruction, intruseption and bleeding, which can accompany adenocarcinomas and must be diagnosed with malignities. All incidents should be examined by appropriate radiological and endoscopic methods before surgery and the best treatment option for each incidence should be assessed.

Anahtar Kelimeler:

Özet:

Abstract In this descriptive study, we aimed to present lipoma cases diagnosed in the gastrointestinal tract and to evaluate the clinicopathological features of these tumors based on literature review. In this study, patient files of 19 cases diagnosed with lipoma of the gastrointestinal tract between 2006 and 2018 were retrospectively reviewed from the archives of the Department of Pathology of Faculty of Medicine. Seventeen cases with lipoma of the gastrointestinal tract were diagnosed between 2006 and 2018. Eleven of the cases were female (%57,9), and eight (42,1%) were male. The mean age of the patients was 62,3 years (range: 36-78 years). Of the 17 cases, 14 were located in the colon, 3 in the small intestine and 1 in the stomach. The classical morphology of lipoma was seen in all cases except one case that was diagnosed with angiolipoma located in the descending colon. Generally, incidentally detected lipomas, which can be accompanied by adenocarcinomas, are tumors that can lead to gastrointestinal symptoms such as obstruction, intussusception and bleeding, and differential diagnosis of malignancies is required. All cases should be examined by appropriate radiological and endoscopic methods before operation and the most appropriate treatment option should be evaluated for each case.