scholarly journals Endoscopic ultrasound in combination with pathological examination for diagnosis of duodenal Brunner's gland hyperplasia and selection of appropriate endoscopic treatment

2010 ◽  
Vol 18 (33) ◽  
pp. 3572
Author(s):  
Jian-Bo Zhuang ◽  
Jin-Hua Zhang ◽  
Li Chen ◽  
Ju-Xia Yuan
2020 ◽  
Author(s):  
Allison Bush ◽  
Jonathan Francis ◽  
Jeffrey Laczek

Abstract Brunner’s gland hamartomas (BGHs) are rare, benign, primary duodenal tumors. The clinical presentations can vary, and confirming a diagnosis can be challenging because of the submucosal nature of the lesions. We report two cases of BGHs with different clinical presentations. The diagnoses were not determined initially, despite utilizing endoscopy, mucosal biopsies, endoscopic ultrasound, and, in one case, fine-needle aspiration. Confirmation of BGHs was subsequently made following endoscopic or surgical resection.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tetsuya Mochizuki ◽  
Nobuaki Fujikuni ◽  
Koichi Nakadoi ◽  
Masahiro Nakahara ◽  
Kazuaki Tanabe ◽  
...  

Abstract Background Duodenal carcinoma originating in Brunner’s gland is rare. Herein, we report a case of duodenal carcinoma arising from Brunner’s gland in a 63-year-old man. Case presentation On diagnostic imaging, the lesion presented as a non-invasive carcinoma; the patient also had uncontrolled diabetes and liver cirrhosis. Hence, we decided to perform partial duodenectomy to reduce operative stress. Pathological examination revealed that the tumor consisted of tissue from Brunner’s gland. Additionally, the carcinoma cells were strongly positive for Mucin-6 protein, which is an epithelial marker of Brunner’s gland. The patient’s post-operative course was uneventful, and he has been well for 2 years after the surgery. Conclusions This a rare case of an adenocarcinoma arising from Brunner’s gland of the duodenum that was resected by duodenectomy.


2002 ◽  
Vol 16 (5) ◽  
pp. 309-313 ◽  
Author(s):  
David R Stolpman ◽  
Gordon C Hunt ◽  
Brett Sheppard ◽  
Hahn Huang ◽  
Deepak V Gopal

An unusual cause of upper gastrointestinal bleeding is described in a previously healthy 45-year-old man who was admitted to hospital with weakness and fatigue, and had experienced an episode of melena two days before admission. His medical and surgical history was unremarkable. Upon admission to hospital, he showed evidence of iron-deficiency anemia, with a hemoglobin concentration of 61 g/L (normal range 135 to 175 g/L), a mean corpuscular volume of 73 fL (normal range 85.0 to 95.0 fL) and a ferritin concentration of 1.0 µg/L (normal range in males 15 to 400 µg/L). Upper gastrointestinal endoscopy revealed a 3.5 cm ulcerated submucosal mass in the third portion of the duodenum, for which mucosal biopsies were nondiagnostic. A subsequent endoscopic ultrasound revealed a 2.7×4.0 cm hyperechoic, cystic, submucosal tumour in the third portion of the duodenum. Endoscopic ultrasound-guided fine needle aspiration revealed no malignant cells. The patient eventually underwent a resection of the third portion of his duodenum. Surgical pathology revealed that this tumour was a Brunner’s gland hamartoma, 4.5 cm in its greatest dimension.


1994 ◽  
Vol 173 (4) ◽  
pp. 317-326 ◽  
Author(s):  
Dennis J. Ahnen ◽  
Richard Poulsom ◽  
Gordon W. H. Stamp ◽  
George Elia ◽  
Christine Pike ◽  
...  

Endoscopy ◽  
1985 ◽  
Vol 17 (06) ◽  
pp. 231-232 ◽  
Author(s):  
Oth. Kehl ◽  
H. Bühler ◽  
B. Stamm ◽  
R.W. Amman

2016 ◽  
Vol 102 (3) ◽  
pp. 231-231 ◽  
Author(s):  
Lucy Henderson ◽  
Cathy Richards ◽  
Anne Willmott ◽  
Haitham Dagash

Author(s):  
Eun Mi Song ◽  
Ki-Nam Shim ◽  
Hye Won Kang ◽  
Ju Young Choi ◽  
Seong-Eun Kim ◽  
...  

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