Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
キノコ様の形態を呈した十二指腸Brunner腺過形成の1例
四宮 俊大庫 秀樹山岡 稔草野 武芦谷 啓吾野口 哲菅野 龍小林 威仁木下 俊介井上 清彰金 玲茅野 秀一山本 啓二中元 秀友早川 健彦今枝 博之
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2015 年 86 巻 1 号 p. 158-159

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A 40-years-old male was pointed out a duodenal polyp by the screening esophagogastroduodenoscopy (EGD) . and he was introduced to another hospital. Because the pedunculated polyp had a stalk and was covered by the normal mucosa1.5 cm in diameter, he was introduced for endoscopic mucosal resection EMR) to ourhospital. EGD showed mushroom-like pedunculated polyps with small depressed lesions 20 mm in diameter in the duodenal anterior wall. Endoscopic ultrasonography showed an echogenic lesion with small anechoic lesions in the second and third layer. We performed EMR for this leison. Pathologic findings showed hyperplasia of the Brunner’s glands without atypical cells in the lamina propria mucosae and submucosal layer covered by the epithelium with intestinal metaplasia. He was diagnosed of Brunner’s glands hyperplasia. We herein reported the rare case of Brunner’s glands hyperplasia with mushroom-like form in the duodenum.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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