학술논문
A case of pedunculated Brunner’s gland hyperplasia of duodenum. / 有茎性隆起を呈した十二指腸Brunner腺過形成の1例
Document Type
Journal Article
Author
Akiko Tsujimoto; Emiri Kita; Hiroyuki Arai; Kazuyoshi Nakamura; Keiko Minashi; Kentaro Sudo; Osamu Sugita; Rino Nankinzan; Shuichi Hironaka; Tadamichi Denda; Taketo Yamaguchi; Takuto Suzuki; Taro Hara; Yoshiyasu Kitagawa; 三梨 桂子; 中村 和貴; 傳田 忠道; 北川 善康; 南金山 理乃; 原 太郎; 喜多 絵美里; 山口 武人; 廣中 秀一; 新井 裕之; 杉田 統; 辻本 彰子; 鈴木 拓人; 須藤 研太郎
Source
Progress of Digestive Endoscopy. 2015, 86(1):160
Subject
Language
Japanese
ISSN
1348-9844
2187-4999
2187-4999
Abstract
A 55-year-old female was introduced to our hospital for a further evaluation of the duodenal lesion. Esophago-gastro-duodenal-endoscopy (EGD) demonstrated the pedunculated polyp about 30mm in diameter at superior duodenal angulus (SDA) . The lesion had several red depressed areas, and image-enhanced magnified endoscopy by Blue LASER Imaging (BLI) showed regular micro-surface and micro-vascular pattern indicating a benign lesion. Biopsies was taken from the depressed area, but the definitive diagnosis was not provided. Considering a malignant lesion, we resected the lesion by polypectomy. Histo-pathological findings showed Brunner’s gland hyperplasia, and microscopic examination demonstrated the surface of the depressed lesion was covered by regenerated epithelial cell with non-atypical glands hyperplasia. We speculated this unique lesion was developed by a mechanical stimulation.