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Surgery

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Question:

What are benign duodenal tumors?

Author: H K



Answer:

Adenomas are sessile or pedunculated; may be associated with familial adenomatous polyposis; Types are tubular, villous, Brunner gland. Tubular: low malignant potential Villous: high malignant risk; 30% of those >3 cm have malignant focus; often periampullary Brunner gland: hyperplasia of exocrine glands Hamartomas: associated with Peutz-Jeghers syndrome Lipomas: no malignant potential Symptoms and signs gastric outlet obstruction, biliary obstruction and jaundice, upper GI bleeding. Diagnosis Duodenal tumor evident on upper GI endoscopy or contrast radiography.


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H K
H K