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1.
Brunner's gland adenoma of the duodenum 总被引:1,自引:0,他引:1
Dr. Raymond Osborne MD Robert Toffler MD Robert M. Lowman MD 《Digestive diseases and sciences》1973,18(8):689-694
Three cases of large, polypoid Brunner's gland adenoma are reported. These tumors arise from glandular tissue in the duodenum and often are associated with bleeding and abdominal discomfort. The radiologic, clinical, and pathologic features are reviewed. 相似文献
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Brunner's gland adenomas are rare tumors of the duodenum that are usually small in size. Only a few cases of tumors more than 4 to 5 cm in size are reported in the literature. Although the majority of patients are asymptomatic, hemorrhage and obstruction are the most clinically significant manifestations. We report a case of Brunner's gland adenoma in which the patient presented with major gastrointestinal bleeding. Endoscopic, radiologic, and endosonographic appearances are illustrated. 相似文献
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AIM: To analyze the clinicopathological features of Brunner‘s gland adenoma of the duodenum.METHODS: A rare case of Brunner‘s gland adenoma of the duodenum was described and related literature was reviewed.RESULTS: Brunner‘s gland adenoma of the duodenum appeared to be nodular hyperplasia of the normal Brunner‘s gland with an unusual admixture of normal tissues, including ducts, adipose tissue and lymphoid tissue. We suggested that it might be designated as a duodenal hamartoma rather than a true neoplasm.CONCLUSION: The most common location of the lesion is the posterior wall of the duodenum near the junction of its first and second portions. It can result in gastrointestinal hemorrhage and duodenal obstruction. Endoscopic polypectomy is a worthy treatment for benign Brunner‘s gland adenomas,as malignant changes in these tumors have never been proven. 相似文献
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Cystic Brunner's gland hamartoma in the duodenum: A case report 总被引:1,自引:0,他引:1
Beom Jin Park Min Ju Kim Jeong Hyeon Lee Sung-Soo Park Deuk Jae Sung Sung Bum Cho 《World journal of gastroenterology : WJG》2009,15(39)
Cystic Brunner's gland hamartoma in the duodenum is exceedingly rare, although microscopic examination may sometimes reveal a Brunner's gland hamartoma containing dilated ducts in the duodenum. We present a case of large cystic Brunner's gland hamartoma in the duodenum with a long stalk, which is described in light of multidetector-row computed tomography, magnetic resonance imaging, and a modified small bowel series, together with pathologic correlation and differential diagnosis. 相似文献
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Dr. Toru Nakanishi MD Tadashi Takeuchi MD Kazuo Hara MD Akitoshi Sugimoto MD 《Digestive diseases and sciences》1984,29(1):81-85
Summary The occurrence of Brunner's gland adenoma in the duodenum is infrequent. The authors report a case of great Brunner's gland adenoma of the duodenal bulb, which is of interest because of its great size (8.5×4.5 cm) and the negative result of the endoscopic biopsy. Endoscopy has improved the diagnosis of the duodenal tumors; however, traditional endoscopic pinching biopsy does not always make a histological diagnosis. In our case, the endoscopic biopsy was negative because the tumor was located completely in the submucosa and the biopsy forceps was unable to reach to the tumor tissue. 相似文献
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Carcinoma of duodenum arising from Brunner's gland 总被引:2,自引:0,他引:2
Akino K Kondo Y Ueno A Yamazaki K Hosokawa M Shimoji H Adachi T Honda S Ichiyanagi S Akahonai Y Fujisawa Y Takahashi H Arimura Y Endo T Imai K 《Journal of gastroenterology》2002,37(4):293-296
Received: August 30, 2000 / Accepted: March 2, 2001 相似文献
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Large Brunner's gland adenoma: Case report and literature review 总被引:3,自引:1,他引:2
Rocco A Borriello P Compare D De Colibus P Pica L Iacono A Nardone G 《World journal of gastroenterology : WJG》2006,12(12):1966-1968
Brunner's gland adenoma(BGA)is a very rare benigntumour of the duodenum,which is usually asymptomaticand discovered incidentally at endoscopy.Occasionally,this lesion may be large,causing upper gastrointestinalhaemorrhage or intestinal obstruction.The case had alarge Brunner's gland adenoma,presenting melena thatwas managed by endoscopic excision. 相似文献
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Kim JH Choi JW Seo YS Lee BJ Yeon JE Kim JS Byun KS Bak YT Kim I Park JJ 《World journal of gastroenterology : WJG》2007,13(23):3262-3264
Benign neoplasia of the duodenum are very rare.Moreover, duodenal tubulovillous adenomas are more uncommon lesions. The microscopic structure of tubulovillous adenoma has frond-like projection of mucosa with branching papillary structure and generally upward growth into the lumen. We describe a 72-year-old man who showed aduodenal tubulovillous adenoma with unusual inverted cystic growth pattern.Interestingly, this tubulovillous adenomatous lesion was interrupted by gastric metaplasia in the deep portion of the cyst and was closely surrounded by Brunner's glands. Although histogenesis of gastric metaplasia of duodenum is not fully understood, Brunner's glands has been suggested as a precursor for gastric metaplasia.Therefore, these findings argued that this adenoma arises from Brunner's glands through gastric metaplasia.This is the first case of inverted cystic tubulovillous adenoma involving Brunner's glands of duodenum with gastric metaplasia. 相似文献
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O Adeonigbagbe C Lee M Karowe M Feeney M Wallack M Montes M Washington 《Journal of clinical gastroenterology》1999,29(2):193-196
Benign tumors of the small bowel are rare. They present with many different manifestations depending on the size and location, and also cause a variety of symptoms that are often nonspecific. These include abdominal pain, dyspepsia, nausea, vomiting, and gastrointestinal bleeding that may be melena or hematemesis. Most of the time patients are asymptomatic and the lesions are discovered as an incidental finding. When bleeding occurs, and it may be severe in certain situations, the patient may develop signs of anemia, such as dyspnea, fatigue, and even high-output cardiac failure. The authors present a patient who was evaluated for melena and who was found to have a duodenal polyp that proved to be a Brunner's gland adenoma on pathology. 相似文献
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Jansen JM Stuifbergen WN van Milligen de Wit AW 《The Netherlands journal of medicine》2002,60(6):253-255
Brunner's gland adenoma is a rare benign tumour of the duodenum. Less than 150 cases have been reported in English literature. We report a 73-year-old woman presenting with upper gastrointestinal obstructive symptoms and melena. Duodenoscopy revealed a large pedunculated tumour in the bulbus duodeni. Endoscopic snare polypectomy was successfully performed. Histological examination revealed a Brunner's gland adenoma. The literature on Brunner's gland adenoma is reviewed. 相似文献
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D Varma K Prakash P Augustine P Mahadevan H Ramesh 《Indian journal of gastroenterology》2001,20(6):243-244
Brunner's gland adenoma is a benign tumor of the duodenum. We report a 58-year-old man who presented with abdominal pain, vomiting and weight loss. The patient underwent Whipple resection along with lymph node clearance. The resected tumor, 4 cm long, showed hypertrophied Brunner's glands. 相似文献
13.
Pedunculated Brunner's gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage 总被引:1,自引:0,他引:1
Shoji Hirasaki Motoharu Kubo Atsushi Inoue Yasuyuki Miyake Hisako Oshiro 《World journal of gastroenterology : WJG》2009,15(3)
A case of pedunculated Brunner's gland hamartoma (BGH) of the duodenum causing upper gastrointestinal (GI) hemorrhage is reported. The patient was a 47-year-old man who visited our hospital for further evaluation of tarry stools and shortness of breath.Endoscopic examination of the upper digestive tract revealed a large peduncular polyp with bleeding,about 30 mm in diameter, arising from the wall of the second portion of the duodenum. GI bleeding occurred from the base of the stalk of the polyp. Endoscopic polypectomy was performed. Histological examination of the specimen revealed that the main body of the polyp contained several lobules of mature Brunner'gland with areas of cystic dilatation. The surface epithelium consisted of normal duodenal mucosa with areas of focal ulceration. This polyp was diagnosed as a BGH. The symptom of tarry stools resolved after endoscopic resection. Our case shows that treatment is necessary for duodenal BGH if GI bleeding occurs. 相似文献
14.
异位胰腺指的是正常解剖位置以外出现胰腺组织。本例报道1例43岁女性患者由于十二指肠内的异位胰腺引起腹痛、恶心和呕吐等症状,由于其症状不典型,异位胰腺在疾病的早期阶段作出精确的诊断很困难。 相似文献
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Koh Ikeda M.D. Kuranosuke Miyauchi M.D. Akira Fujimoto M.D. Toshiyuki Hayashi M.D. Michio Kogure M.D. Eiki Ohgoshi M.D. 《The American journal of gastroenterology》1998,93(7):1159-1162
Tubulovillous adenoma of the duodenum is a rare tumor. Almost all of the lesions have been reported endoscopically and are recognized as small, sessile, polypoid lesions. This article discusses an unusual case of pedunculated tubulovillous adenoma of the duodenum in a 48-yr-old woman. The lesion was discovered on the upper part of the descending duodenum during a gastric mass survey. The polyp was removed using an electrocautery snare and was histologically diagnosed as tubulovillous adenoma. 相似文献