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KMID : 0359020100400050297
Korean Journal of Gastrointestinal Endoscopy
2010 Volume.40 No. 5 p.297 ~ p.302
Clinical Characteristics of Large Brunner’s Gland Tumors in Korea
Kang Ji-Hun

Lim Yun-Jeong
Hahn Suk-Jae
Choi Jong-Sun
Koh Moon-Soo
Lee Jin-Ho
Abstract
Background/Aims: Brunner’s gland tumor is a common benign tumor noted in duodenum and might be designated as Brunner’s gland hamartoma, adenoma or hyperplasia. But, a large duodenal polyp (over 1 cm in diameter) pathologically proven as a tumor of Brunner’s gland origin is rare.

Methods: We analyzed a total of 39 cases including our direct experience of two cases and reports of 37 cases to clarify the clinical features of large Brunner’s gland tumors.

Results: This tumor tends to present predominantly after the fourth decade: Median age is 52.6 years. Neither gender showed predominance. The size of the tumor ranged from 1 to 8 cm and the mean diameter was 2.9 cm. The most common location was the bulb. A pedunculated polyp was the common appearance. Epigastric pain was the most common symptom. Brunner’s gland tumor can cause gastrointestinal hemorrhage or obstruction. Most of the polyps had non-diagnostic pathologic yield at pinch biopsy and only one case was diagnosed as focal adenocarcinoma. Endoscopic or surgical removal was undertaken for treatment. Most cases had no recurrence after removal. Snare polypectomy or submucosal dissection very safe and useful treatment modalities.

Conclusions: Large Brunner’s gland tumors are mostly found during a check up or epigastric pain. Anemia, melena and obstruction often develop. Endoscopic polypectomy is recommended as a first line treatment.
KEYWORD
Brunner’s gland hamartoma, Brunner’s gland adenoma, Brunner’s gland hyperplasia
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학술진흥재단(KCI) KoreaMed 대한의학회 회원