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Successful endoscopic removal of a duodenal adenoma occurring in Brunner's gland hyperplasia
Authors:Kosei Doi  Shuji Tada  Takahisa Fujimoto  Tomohisa Ohwan  Naotsugu Ueno  Hironobu Suko  Takihiro Kamio  Takayuki Matsumoto  Mitsuo Iida
Abstract:A case of duodenal neoplasm in the second portion of the duodenum is presented. Endoscopically, the lesion was characterized by a broad‐based, submucosal tumor‐like protrusion with a shallow central depression. The lesion was successfully removed by endoscopic mucosal resection. Histological examination of the resected specimen revealed the lesion to be composed of Brunner's gland hyperplasia in the submucosal layer and adenomatous glands in the mucosa. Our case suggests that neoplastic transformation possibly occurs in Brunner's gland hyperplasia.
Keywords:Brunner's gland hyperplasia  duodenal adenoma  endoscopic mucosal resection
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