Giant Brunner's Gland Hyperplasia of the Duodenum Diagnosed by Endoscopic Ultrasonography-guided Fine Needle Biopsy and Treated by Laparoscopic Endoscopic Cooperative Surgery
| Autor: | Hirotoshi Ishiwatari, Kohei Takizawa, Noboru Kawata, Naomi Kakushima, Keiko Sasaki, Hiroyuki Matsubayashi, Hiroyuki Ono, Tatsunori Satoh, Shinya Fujie, Masanori Terashima, Masao Yoshida |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Biopsy Fine-Needle LECS Brunner Glands Case Report ESD Endoscopic ultrasonography 030204 cardiovascular system & hematology Malignancy Endosonography Fine needle biopsy 03 medical and health sciences 0302 clinical medicine Brunner's gland hyperplasia Internal Medicine medicine Duodenal submucosal tumor Humans Duodenal Diseases Hyperplasia business.industry Histology General Medicine Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure EUS-FNB Duodenum Female Laparoscopy 030211 gastroenterology & hepatology Tomography X-Ray Computed business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.2477-18 |
| Popis: | A 57-year-old female was referred to our department for treatment of a duodenal submucosal tumor (SMT), which had been growing over the last five years. Computed tomography demonstrated a marginally enhanced mass, measuring 36 mm in diameter, containing internal multiple hypovascular areas. Endoscopic ultrasonography-guided fine needle biopsy was performed using a 20-gauge core trap needle, and the specimens showed benign Brunner's glands. She underwent laparoscopic endoscopic cooperative surgery and the SMT was completely removed without any adverse events. Histology of the resected tumor showed Brunner's gland hyperplasia (BGH). BGH is generally a benign lesion. However, an accurate diagnosis is required to avoid overtreatment when it mimics malignancy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|