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題 名 | Brunner's Gland Adenoma with Complication: Report of Two Cases=有併發症的布隆納腺體瘤:二病例報告 |
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作 者 | 朱允義; 簡榮南; 邱正堂; 鄭隆賓; 陳澤卿; 陳邦基; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 15:4 1998.12[民87.12] |
頁 次 | 頁29-34 |
分類號 | 415.55 |
關鍵詞 | 布隆納腺體瘤; 十二指腸; 內視鏡超音波; Brunner's gland adenoma; Duodenum; Endoscopic ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 布隆納腺體瘤是良性且少見的,它主要位於十二指腸球部,臨床上通常無症狀。 少數病例因為黏膜糜爛或潰瘍合併上消化道出血,或腫瘤太大而合併有腸阻塞;我們報告長 庚紀念醫院過去十年間二例有併發症的布隆納腺體瘤,腫瘤大小為 8 公分及 3 公分,主要 症狀為腸道阻塞及上消化道出血,第一例接受第二型 Billroth 胃次全切除術,第二例接受 外科息肉摘除術。 第二例術前接受內視鏡超音波檢查,結果顯示十二指腸黏膜層或 / 及黏 膜下層呈混合至低迴音腫瘤。我們建議在十二指腸腫瘤,息肉及黏膜下層腫瘤的鑑別診斷中 ,布隆納腺體瘤應列入考慮,而內視鏡超音波則有助於鑑別診斷。 |
英文摘要 | Brunner's gland adenoma is a rare and benign tumor located mainly in the duodenal bulb. The clinical manifestation is usually asymptomatic or ignore change, however, they may develop symptoms due to large size. Upper gastrointestinal (UGI) endoscopic findings may often simulate a duodenal polyp, tumor or subrnucosal tumor. We report two cases of Brunner's gland adenoma with complications that were diagnosed over the past 10 years. The tumor sizes were 8 and 3 cm respectively. The main clinical manifestations were intestinal obstruction and upper gastrointestinal bleeding in the first case and only UGI bleeding in the second case. The first patient underwent a Billroth Ⅱ subtotal gastrectomy, the second patient received a surgical polypectomy. Preoperative endoscopic ultrasonography (EUS) was performed in the second patient and showed a mixed to hypoechoic tumor arising from muscularis mucosa and subrnucosa of the duodenal wall. We suggest that Brunner's gland adenoma should be kept in mind in the differential diagnosis for cases of duodenal polyps, tumors or subrnucosal tumors. Preoperative evaluation by EUS will also be helpful in these cases. |
本系統中英文摘要資訊取自各篇刊載內容。