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Hu BW, Liu ZZ, Ding HF. Facts to be known for the better understanding of Brunner's gland adenoma and its management. Asian J Surg 2022; 45:1295-1296. [PMID: 35227566 DOI: 10.1016/j.asjsur.2021.12.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 12/29/2021] [Indexed: 11/02/2022] Open
Affiliation(s)
- Bo-Wen Hu
- Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou, Henan, 450052, China.
| | - Zhen-Zhen Liu
- Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou, Henan, 450052, China
| | - Huan-Fei Ding
- Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou, Henan, 450052, China
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Zhou SR, Ullah S, Liu YY, Liu BR. Brunner's gland adenoma: Lessons learned for 48 cases. Dig Liver Dis 2021; 53:134-136. [PMID: 33168417 DOI: 10.1016/j.dld.2020.10.028] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 10/20/2020] [Accepted: 10/21/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Si-Ran Zhou
- Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Saif Ullah
- Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yue-Yuan Liu
- Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Bing-Rong Liu
- Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.; State key laboratory of esophageal cancer prevention and treatment, Zhengzhou University, Zhengzhou, China.
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Ortiz Requena D, Rojas C, Garcia-Buitrago M. Cytological diagnosis of Brunner's gland adenoma (hyperplasia): A diagnostic challenge. Diagn Cytopathol 2020; 49:E222-E225. [PMID: 33314802 DOI: 10.1002/dc.24680] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/17/2020] [Accepted: 11/23/2020] [Indexed: 12/19/2022]
Abstract
Brunner's gland adenoma (hyperplasia) (BGA/H) is a benign gastrointestinal lesion, usually asymptomatic and frequently detected incidentally by endoscopy as a submucosal nodule. Most BGA/Hs are diagnosed by their typical cytological morphology and immunohistochemical features, characterized by monomorphic cells arranged as loosely clusters of epithelial cells with abundant, clear, and granular cytoplasm, eccentrically located nuclei, and immunoreactivity for MUC-6. The combination of the clinical and pathological features is essential for rendering a correct diagnosis. Herein, we report two cases of BGA/H, including their cytologic and histologic features, and a literature review of the clinicopathologic findings along with its differential diagnoses.
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Affiliation(s)
- Domenika Ortiz Requena
- Department of Pathology and Laboratory Medicine, Jackson Memorial Hospital/University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Claudia Rojas
- Department of Pathology, Memorial Healthcare System/Joe DiMaggio Children Hospital, Miami, Florida, USA
| | - Monica Garcia-Buitrago
- Department of Pathology and Laboratory Medicine, Jackson Memorial Hospital/University of Miami Miller School of Medicine, Miami, Florida, USA
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Meltser E, Federici M, Cooper R, Capanescu C, Behling KC. Fatal Gastrointestinal Hemorrhage in a Patient with Brunner's Gland Hyperplasia. Case Rep Gastroenterol 2017; 11:411-415. [PMID: 28878614 PMCID: PMC5567001 DOI: 10.1159/000477717] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 05/17/2017] [Indexed: 01/09/2023] Open
Abstract
Brunner's gland hyperplasia is a rare cause of duodenal mass and gastrointestinal hemorrhage. Imaging and esophagoduodenoscopic evaluation of this condition are frequently consistent with a duodenal malignancy often resulting in surgical resection. However, the malignant potential of these lesions is still unknown, and most are benign. We report the case of a 74-year-old man who presented with fatal gastrointestinal bleeding and esophagoduodenoscopy findings consistent with a duodenal mass and mucosal ulceration. At autopsy, histologic examination of the mass revealed Brunner's gland hyperplasia with associated ulcer formation. In this report, we review the findings associated with this case as well the literature regarding presentation, clinical associations, and treatment of Brunner's gland hyperplasia.
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Affiliation(s)
- Edward Meltser
- Department of Pathology and Laboratory Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Matthew Federici
- Cooper Medical School of Rowan University, Camden, New Jersey, USA
| | - Robert Cooper
- Department of Gastroenterology, Cooper University Hospital, Camden, New Jersey, USA
| | - Cristina Capanescu
- Department of Gastroenterology, Cooper University Hospital, Camden, New Jersey, USA
| | - Kathryn C Behling
- Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey, USA.,Department of Pathology, Cooper University Hospital, Camden, New Jersey, USA
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Deng WW, Wang J. Brunner's gland adenoma in the cardia: A case. Shijie Huaren Xiaohua Zazhi 2017; 25:396-398. [DOI: 10.11569/wcjd.v25.i4.396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Brunner's gland adenoma (BGA) is a rare benign tumor with unclear etiology and atypical clinical manifestations. A definitive diagnosis requires histopathologic examination. Endoscopic resection is the main treatment, and the prognosis is good. There have been no previous reports of BGA in the cardia. This article reports such a case.
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Sorleto M, Timmer-Stranghöner A, Wuttig H, Engelhard O, Gartung C. Brunner's Gland Adenoma - A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review. Case Rep Gastroenterol 2017; 11:1-8. [PMID: 28203131 PMCID: PMC5301130 DOI: 10.1159/000454711] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 11/22/2016] [Indexed: 11/19/2022] Open
Abstract
Brunner's gland adenoma is an extremely rare benign small bowel neoplasm, often discovered incidentally during upper gastrointestinal endoscopy or radiological diagnostics. In few cases, it tends to cause gastrointestinal hemorrhage or intestinal obstruction. We report here our experience with a 47-year-old woman with a Brunner's gland adenoma of more than 6 cm in size, located in the first part of the duodenum and causing gastrointestinal bleeding. Initially, we performed a partial endoscopic resection using endoloop and snare alternatively to prevent severe bleeding. A rest endoscopic polypectomy with the submucosal dissection technique was planned. However, on request of the patient, an elective surgical duodenotomy with submucosal resection of the remaining small duodenal tumor was performed. To better define the patient's characteristics and treatment options of such lesions, we performed a systematic review of the available literature in PubMed. Recently, an endoscopic removal is being increasingly practiced and is considered as a safe treatment modality of such lesions.
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Affiliation(s)
- Michele Sorleto
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Johannes-Wesling-Klinikum Minden, Minden, Germany
| | - Annette Timmer-Stranghöner
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Johannes-Wesling-Klinikum Minden, Minden, Germany
| | - Helge Wuttig
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Johannes-Wesling-Klinikum Minden, Minden, Germany
| | - Oliver Engelhard
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Johannes-Wesling-Klinikum Minden, Minden, Germany
| | - Carsten Gartung
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital Johannes-Wesling-Klinikum Minden, Minden, Germany
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Wei JM, Zhang ZZ, Shen YY, Shen DP, Ni XZ. A rare gastric neuroendocrine carcinoma coexisting with Brunner's gland adenoma: A case report. Oncol Lett 2015; 10:1251-1254. [PMID: 26622658 DOI: 10.3892/ol.2015.3465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2014] [Accepted: 01/22/2015] [Indexed: 11/06/2022] Open
Abstract
Gastric neuroendocrine carcinoma (G-NEC) is a rare neoplasm known for its aggressive behavior and poor prognosis. Brunner's gland adenoma (BGA) is a rare benign proliferative lesion that develops most commonly in the duodenum. To the best of our knowledge, no cases of G-NEC coexisting with BGA have previously been reported. The present study therefore reports the first case of G-NEC combined with BGA. A 67-year-old female presented with upper abdominal discomfort. No distant metastases were detected upon pre-operative abdominal computed tomography imaging. The patient underwent a radical distal gastrectomy, D2 lymphadenectomy and Billroth I gastroenterostomy. The resected masses were histologically confirmed to be G-NEC and BGA, respectively. The patient did not receive neoadjuvant or adjuvant chemotherapy or radiotherapy, and remains alive with no evidence of metastasis or recurrence at four years post-surgery.
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Affiliation(s)
- Jian-Ming Wei
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China
| | - Zi-Zhen Zhang
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China
| | - Yan-Ying Shen
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China
| | - Dan-Ping Shen
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China
| | - Xing-Zhi Ni
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China
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So CS, Jang HJ, Choi YS, Koh DH, Choi MH, Kae SH, Min SJ, Lee J. Giant Brunner's Gland Adenoma of the Proximal Jejunum Presenting as Iron Deficiency Anemia and Mimicking Intussusceptions. Clin Endosc 2013; 46:102-5. [PMID: 23422840 PMCID: PMC3572344 DOI: 10.5946/ce.2013.46.1.102] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Revised: 04/24/2012] [Accepted: 05/02/2012] [Indexed: 11/14/2022] Open
Abstract
Brunner's gland adenoma is a rare benign proliferative lesion developing most commonly in the posterior wall of the duodenum. It is usually small in size and asymptomatic. Depending on its size or location, however, the clinical manifestations of this tumor may be variable from nonspecific symptoms to gastrointestinal bleeding or obstruction. Brunner's gland adenoma in the proximal jejunum is extremely rare. We report a very rare case of giant Brunner's gland adenoma developing in the proximal jejunum which presented as iron deficiency anemia and mimicked intussusceptions on radiologic studies.
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Affiliation(s)
- Chan Soo So
- Division of Gastroenterology, Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Korea
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