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Large Brunner's glands adenoma. A case report
The Italian Journal of Surgical Sciences
|January 1, 1987
Summary
A rare, large Brunner's glands adenoma (6.5 cm) was successfully treated with surgical excision. Despite its size, it presented with bleeding, not obstruction, and was confirmed benign via endoscopy and biopsy.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Brunner's glands adenomas are typically small duodenal neoplasms.
- Large adenomas exceeding 1 cm are uncommon and can present unique clinical challenges.
Observation:
- A rare case of a significantly large (6.5 cm) Brunner's glands adenoma is presented.
- The large tumor did not cause upper digestive tract obstruction, a common complication of large duodenal masses.
Findings:
- The primary clinical manifestation was gastrointestinal bleeding, prompting investigation.
- Endoscopic biopsies were crucial for diagnosis, definitively excluding malignancy.
- Surgical excision was performed successfully, confirming it as the appropriate treatment.
Implications:
- This case highlights that large Brunner's glands adenomas can present atypically, with bleeding as the initial symptom.
- It underscores the importance of endoscopic evaluation and biopsy for accurate diagnosis and malignancy exclusion.
- Local surgical excision remains the gold standard treatment for large, benign Brunner's glands adenomas.