alexa Pyloric Giant Brunner's Gland Adenoma Mimicking Duodenal Carcinoma | OMICS International | Abstract
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Case Report

Pyloric Giant Brunner's Gland Adenoma Mimicking Duodenal Carcinoma

Savitha Anil Kumar1*, Simi Ajesh2 and Shilpa Prabhudesai1
1Consultant Pathologist, Triesta Reference laboratory, Unit of HealthCare Global enterprises Ltd, Bangalore, India
2Junior Pathologist, Triesta Reference laboratory, Unit of HealthCare Global enterprises Ltd, Bangalore, India
Corresponding Author : Dr. Savitha Anil Kumar
Consultant Pathologist
Triesta Reference laboratory
Unit of HealthCare Global enterprises Ltd
Bangalore, India
E-mail: [email protected]
Received May 18, 2013; Accepted August 31, 2013; Published September 03, 2013
Citation: Savitha Anil Kumar, Simi Ajesh, Shilpa Prabhudesai (2013) Pyloric Giant Brunner's Gland Adenoma Mimicking Duodenal Carcinoma. J Med Diagn Meth 2:132. doi:10.4172/2168-9784.1000132
Copyright: © 2013 Savitha Anil Kumar, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Brunner’s gland adenoma is a rare benign tumor with 5% of tumors arising from the pyloric region of the small intestine. It is usually asymptomatic, but sometimes presents with ambiguous symptoms like nausea, vomiting, bloating, abdominal discomfort and luminal obstruction thus mimicking malignant tumors as well as other benign tumors that leads the treating physician to misdiagnose the lesion. Here, we present a case of a 62-year-old male with a history of weight loss and vomiting since 4 months. Initial imaging studies that revealed a large mass in the duodenum and endoscopic findings that suggested a mass arising from the pylorus and obstructing the lumen led to the clinical diagnosis of duodenal carcinoma/lymphoma. However, the endoscopic biopsy did not show any features of malignancy. Following laparotomic excision and histopathological examination, a final diagnosis of Brunner’s gland adenoma was made. To conclude, the ambiguous presentation of Brunner’s gland adenoma as well as its size make it a pertinent lesion to include in the differential diagnosis of malignancies.

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