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Benign duodenal tumors.

K C Chong1, W K Cheah, J E Lenzi

  • 1Department of Surgery, National University Hospital, Singapore.

Hepato-Gastroenterology
|December 2, 2000
PubMed
Summary
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Benign duodenal tumors are rare, presenting non-specifically. Management involves endoscopic removal for small tumors or surgical resection for larger or sessile ones, with good outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Gastrointestinal Pathology

Background:

  • Benign duodenal tumors are uncommon, with diverse pathologies.
  • Treatment options include endoscopic excision and surgical resection.
  • This review focuses on managing benign tumors in the proximal duodenum.

Purpose of the Study:

  • To review the management strategies for benign tumors of the proximal duodenum.
  • To analyze patient presentations, diagnostic methods, and treatment outcomes.

Main Methods:

  • Retrospective review of 11 patients with benign duodenal tumors over 10 years.
  • Exclusion of malignant and periampullary tumors.
  • Diagnosis via gastroduodenoscopy with biopsy; treatment via endoscopic or surgical methods.

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Main Results:

  • Abdominal pain and upper gastrointestinal bleeding were common presentations.
  • Tumors averaged 2.8 cm; 6 were adenomas, 3 Brunner's gland adenomas/hamartomas, 1 schwannoma, 1 leiomyoma.
  • Endoscopic removal or surgery was performed, with one recurrence.

Conclusions:

  • Non-specific presentation necessitates diagnosis via gastroduodenoscopy.
  • Small, pedunculated tumors are amenable to endoscopic removal.
  • Endoscopic ultrasound aids in detecting submucosal involvement; large or sessile tumors (>2 cm) require surgical excision.