A Large Brunner's Gland Adenoma removed by Endoscopic Polypectomy

Matsumoto, Teruo; Iida, Mizuho; Matsui, Taro; Yao, Takeshi; Fujishima, Masatoshi

doi:10.1055/s-2007-1012840

Cited by 18 publications

(11 citation statements)

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“…BGA is usually asymptomatic, but may exhibit clinical manifestations that can range from non-specific symptoms to gastrointestinal bleeding or obstruction only detectable by an upper gastrointestinal endoscopy (16,17). It has been suggested that BGA is not a true tumor, but a lesion of nodular A B hyperplasia or hamartoma (18).…”

Section: Discussionmentioning

confidence: 99%

A rare gastric neuroendocrine carcinoma coexisting with Brunner's gland adenoma: A case report

et al. 2015

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Abstract. Gastric neuroendocrine carcinoma (G-NEC) is a rare neoplasm known for its aggressive behavior and poor prognosis. Brunner's gland adenoma (BGA) is a rare benign proliferative lesion that develops most commonly in the duodenum. To the best of our knowledge, no cases of G-NEC coexisting with BGA have previously been reported. The present study therefore reports the first case of G-NEC combined with BGA. A 67-year-old female presented with upper abdominal discomfort. No distant metastases were detected upon pre-operative abdominal computed tomography imaging. The patient underwent a radical distal gastrectomy, D2 lymphadenectomy and Billroth I gastroenterostomy. The resected masses were histologically confirmed to be G-NEC and BGA, respectively. The patient did not receive neoadjuvant or adjuvant chemotherapy or radiotherapy, and remains alive with no evidence of metastasis or recurrence at four years post-surgery.

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Section: Discussionmentioning

confidence: 99%

A rare gastric neuroendocrine carcinoma coexisting with Brunner's gland adenoma: A case report

et al. 2015

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“…Another review of the literature has revealed that the main clinical feature of BGH is GI bleeding or bowel obstruction [1,2,4,6,7] . The diagnosis of BGH is usually made by a combination of radiographic and endoscopic findings.…”

Section: Discussionmentioning

confidence: 99%

“…Brunner's gland hamartoma (BGH) is a very rare cause of upper gastrointestinal (GI) hemorrhage. Clinically, patients may present with symptoms of duodenal obstruction or upper GI hemorrhage and require endoscopic or surgical excision [2] . Herein, we describe a relatively rare case of pedunculated BGH of the duodenum causing upper GI hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Pedunculated Brunner’s gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage

Shoji¹,

Kubo²,

Inoue³

et al. 2009

WJG

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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's 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.

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“…Ces dernières années, grâce au dév eloppement rapide de l'endoscopie digesti v e interventionnelle, plusieurs cas de résection endoscopique ont été décrits dans la littérature (4,8,9). Cependant, aucune e xé -rèse endoscopique en un seul temps a v ec endoloop ® n'a été publiée.…”

Section: Discussionunclassified

Exérèse endoscopique par polypectomie d’un hamartome brunnerien géant après mise en place d’une anse détachable

et al. 2009

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A Large Brunner's Gland Adenoma removed by Endoscopic Polypectomy

Cited by 18 publications

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A rare gastric neuroendocrine carcinoma coexisting with Brunner's gland adenoma: A case report

A rare gastric neuroendocrine carcinoma coexisting with Brunner's gland adenoma: A case report

Pedunculated Brunner’s gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage

Exérèse endoscopique par polypectomie d’un hamartome brunnerien géant après mise en place d’une anse détachable

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