Lipoma

Lipomas are rare, uniformly benign, localized proliferations of submucosal fat. Like leiomyomas, they grow by slow compression of surrounding tissue and usually no true capsule can be defined. Their soft texture and sub-mucosal origin dictate that the tumors grow almost entirely into the lumen with relatively little effect on the muscle wall. As they become large they may form pe-dunculated, intraluminal, polypoid masses and may cause intussusception. The overlying mucosa is initially intact but may eventually breakdown and ulceration is one means of presentation. Their low X-ray attenuation allows a confident diagnosis on computed tomography (CT) (Fig. 12).

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