title: Colonic lipomas: our experience in diagnosis and treatment.
abstract: OBJECTIVE
  The aim of this study is to present our experience in colonic lipomas.
  
  
  METHODS
  We present 4 patients (1 male, 3 females) of mean age 65.5 years (range, 61-72 years) treated for single colonic lipomas. The diameters of the lesions were 4.5, 4, 3.5 and 2.5 cm, respectively. In 3 cases, colonic lipomas were located within the cecum, while in one patient within the descending colon, proximally to the splenic flexure.
  
  
  RESULTS
  Lipomas of diameter greater than 3 cm caused nonspecific symptoms. Lipomas of higher diameter were removed laparoscopically with colotomy; in two cases, the patients underwent open hemicolectomy, because of the suspicion of malignancy, while the smallest lesion was resected endoscopically, using a bipolar snare. All patients recovered without complications and remain healthy with no signs of recurrence.
  
  
  CONCLUSIONS
  In cases of ulcerated lipomas, greater than 3 cm of diameter, surgical resection is recommended.
authors: Surgical Department, European Medical Center, Macedonias 2 str, 55535 Pilea, Thessaloniki, Greece.
authors: I
authors: I
authors: Mantzoros
authors: D
authors: D
authors: Raptis
authors: M G
authors: MG
authors: Pramateftakis
authors: D
authors: D
authors: Kanellos
authors: S
authors: S
authors: Psomas
authors: A
authors: A
authors: Makrantonakis
authors: T
authors: T
authors: Tsachalis
authors: S
authors: S
authors: Angelopoulos
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged