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Il Giornale di Chirurgia

A case of peduncolated Brunner's gland hamartoma

Clinical practice, 111 - 113
doi: 11138/gchir/2018.39.2.111
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Aim. To report a case of Brunner’s gland hamartoma (BGH) in patient treated with surgical resection.
Case report. A 73 years old male patient that was admitted with melena. The preoperative investigations suggested a suspected duodenal large polypoidal mass. A local resection was performed. Surgical resection is actually considered the best treatment for this lesion.
Discussion. Brunner’s glands were first described by Brunner in 1688. Hamartoma designates an excessive focal overgrowth of mature normal cells and tissues, composed of identical cellular elements. Most patients with Brunner’s gland hamartoma are asymptomatic or have nonspecific complaints.
Conclusion. BHG is a rare tumor arising from the Brunner’s gland of the duodenum, considered entirely benign, although there have been occasionally reports of malignant foci inside.

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