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Postgraduate Medical Journal 2003;79:416-417; doi:10.1136/pmj.79.933.416
© 2003 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2003;79:416-417
© 2003 Fellowship of Postgraduate Medicine

CASE REPORT

Malignant potential in a Brunner’s gland hamartoma

M J Brookes1, S Manjunatha2, C A Allen3, M Cox2

1 Department of Gastroenterology, City General Hospital, Stoke-on-Trent
2 Department of Gastroenterology, Manor Hospital, Walsall
3 Department of Histopathology, Manor Hospital, Walsall

Correspondence to:
Correspondence to:
Dr Brookes;
mbro453398{at}aol.com

ABSTRACT

Brunner’s gland hamartomas are rare tumours of the duodenum. These lesions have previously been described as being benign, with no malignant potential. A case report is presented of a Brunner’s gland hamartoma, whose histology revealed a focus of well marked epithelial dysplasia. This case suggests a dysplastic stage in the natural history of Brunner’s gland hamartoma, and questions the malignant potential of these lesions.

Keywords: adenoma; Brunner’s gland hamartoma; dysplasia


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