Korean Journal of Gastrointestinal Endoscopy 1990;10(2): 345-350.
십이지장의 Brunner's Gland 선종 2예 ( Two Cases of Brunner's Gland Adenoma )
조영덕, 김영선, 이문성, 김진홍, 조성원, 심찬섭, 김익수, 고은석, 이동화 (Young Deok Cho, Young Sun Kim, Moon Sung Lee, Jin Hong Kim, Sung Won Cho, Chan Sup Shim, Ik Soo Kim, Eun Soo Kim and Dong Hwa Lee)
Abstract
So-called Brunners gland adenoma is characterized by a nodular proliferation of histologically normal Brunners gland, accompanied hy duots and scattered stromal elements. This benign tumor of the duodenum is rare and is not eaey to discover because of non-specific symptoms. The clinical presentation can vary from vague upper abdominal symptoms with dyspepsia and nausea to diarrhea, jaundice, obetruction and gastrointestinal bleeding. The diagnosis is usually made by radiologic studies and gastroduodenal endoscopy which can also provide definitive treatment. The management of Brunners gland adenoma is complete removal of the lesion and pathologic examination, always necessary to define the nature of the lesion and exclude malignacy. We experienced two cases of Brunner's gland adenoma in the duodenal bulb. The patients complained of epigastric discomfort and bloating respectively. The endoscopic examination revealed round semipedunculated polypoid mass covered with normal muosa at duodenal bulb. One case with a small adenoma (size: 0.7 x 0.7 cn) had been removed by endoscopic polypectomy and the other case with a relatively large polyp (aize: 2.0x2.0cm) had been treaed by transduodenal exploration and excision of the polyp.
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