Korean J Helicobacter Up Gastrointest Res.  2016 Jun;16(2):107-110. 10.7704/kjhugr.2016.16.2.107.

Adenocarcinoma Arising from Brunner's Gland Hyperplasia

Affiliations
  • 1Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Pusan National University Hospital, Busan, Korea. doc0224@pusan.ac.kr
  • 2Department of Pathology, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Pusan National University Hospital, Busan, Korea.

Abstract

Brunner's gland hyperplasia, also known as Brunner's gland adenoma or hamartoma, is often encountered as a proliferative lesion arising from the Brunner's glands of the duodenum. This lesion has previously been described as being benign, with no malignant potential. We report a case of Brunner's gland hyperplasia that was incidentally discovered on endoscopy for evaluation of gastrointestinal bleeding. The histopathological findings of this lesion revealed a marked dysplastic and malignant changes from the normal Brunner's gland structure. Our case demonstrates the possibility of malignant potential in the natural history of Brunner's gland hyperplasia, even though its incidence is very rare.

Keyword

Brunner glands; Hyperplasia; Adenocarcinoma

MeSH Terms

Adenocarcinoma*
Adenoma
Brunner Glands
Duodenum
Endoscopy
Hamartoma
Hemorrhage
Hyperplasia*
Incidence
Natural History
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