A Case of Brunner's Gland Adenoma Presenting as Large Polyp with Stalk

Song, Eun Mi; Shim, Ki Nam; Kang, Hye Won; Choi, Ju Young; Kim, Seong Eun; Jung, Hye Kyung; Jung, Sung Ae

doi:2012.12.1.47

Korean J Helicobacter Up Gastrointest Res > Volume 12(1); 2012 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(1):47-49.
DOI: https://doi.org/10.7704/kjhugr.2012.12.1.47 Published online March 10, 2012.

A Case of Brunner's Gland Adenoma Presenting as Large Polyp with Stalk

Eun Mi Song, Ki Nam Shim, Hye Won Kang, Ju Young Choi, Seong Eun Kim, Hye Kyung Jung, Sung Ae Jung

Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr

유경성 거대 용종 형태의 십이지장 Brunner선 선종 1예

송은미, 심기남, 강혜원, 최주영, 김성은, 정혜경, 정성애

이화여자대학교 의학전문대학원 내과학교실, 의과학연구소

Abstract

Sporadic duodenal polyps are uncommon, being found at 5% of patient referred for upper endoscopy. They are often discovered incidentally and are usually asymptomatic. Endoscopic features and histologic results from endoscopically biopsied specimen cannot exclude malignancy. Recently, we experienced a Brunner's gland adenoma of duodenum mimicking malignant neoplasm. A 52-year-old female visited for evalution of a duodenal mass. A 3 cm sized polypoid mass located at the mesenteric border of 2nd portion of duodenum was found on endoscopic examination. Histologic results based on tissue taken from endoscopic biopsy showed gastric foveolar hyperplasia. Endoscopic polypectomy was performed to exclude malignancy and histological finding was consistent with Brunner's gland adenoma.

Key Words: Brunner's gland adenoma; Duodenal polyp