Korean Journal of Gastrointestinal Endoscopy 1993;13(1): 83-86.
용종 절제술로 제거한 Brunneroma 1예 ( A Brunner's Gland Adenoma Removed by Endoscopic Polypectomy )
배선우, 이동기, 백순구, 권상옥, 조미연 (Sun Woo Bae, Dong Ki Lee, Soon Goo Baik, Sang Ok Kwon and Mee Yon Cho)
Abstract
Brunner's gland adenoma(or Brunneroma) is clinically relevant tumor-like lesion of the duodenum which is composed of submucosal Brunner's gland tissue. Since the first case by autopsy was described by Cruveihier in l935, there have been less than 190 reports in the world literature, Brunner's gland adenoma is an extremely rare entity that accounts for only 10.6% of benign duodenal tumors, which are themselves relatively rare representing 0.008% of all surgical and autopsy specimens. The clinical manifestation of this tumor are non-specific gastrointestinal complaints, such as bloating or epigastric pain, and tumor often gives rise to melena or obstruction, It is postulated that this tumor are hamartomas rather than true neoplasm. However, they undergo rarely malignant transformation. We report on a case of a large pedunculated Brunner's gland adenoma, which was successfully polypectomized.
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