A case of Brunner's gland hyperplasia with features of duodenal cancer

  • Keiichiro Kume | k-kume@med.uoeh-u.ac.jp Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu, JAPAN, Japan.
  • Masahiro Yamasaki Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Japan.
  • Ryoichi Narita Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Japan.
  • Ichiro Yoshikawa Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Japan.

Abstract

A rare case of Brunner’s gland hyperplasia mimicking duodenal cancer is reported. A 68-year old woman had an elevated lesion in the second portion of the duodenum. Endoscopy after spraying with indigo carmine dye showed a granular appearance and fold convergence. The biopsy specimen suggested hyperplasia without malignancy. However, since the endoscopic features strongly suggested malignancy, endoscopic mucosal resection (EMR) was performed to establish the correct diagnosis. The final pathology diagnosis was Brunner's hyperplasia.

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Author Biography

Keiichiro Kume, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu, JAPAN

Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu, JAPAN

Published
2009-12-18
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Case Reports
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How to Cite
Kume, K., Yamasaki, M., Narita, R., & Yoshikawa, I. (2009). A case of Brunner’s gland hyperplasia with features of duodenal cancer. Gastroenterology Insights, 1(1), e8. https://doi.org/10.4081/gi.2009.e8