Duodenumda Tubulovillöz Adenom: Olgu Sunumu

İnce barsak tümörleri, gastrointestinal sistemin diğer tümörlerine göre oldukça nadirdir.İnce barsağın malign ve bening tümörleri sıklıkla duodenum yerleşimlidir. İnce barsağın en sık görülen malignitesi adenokarsinomlardır. Benign ince barsak tümorleri de nadir olup, adenomları genellikle duodenum 2. kıta yerleşimlidir. Villöz adenomlarda malign transformasyon olasılığı daha yuksektir. Burada dispepsi ve kilo kaybı etyolojisinin araştırılması sıra sında saptanmış olan ve endoskopik yöntemle tedavi edilen, periampuller yerleşlimli tübülovillöz adenom olgusu sunulmaktadır

Tubulovillous Adenoma of The Duodenum: a Case Report

Benign and malignant tumors of the small bowel are rarely seen, accord- ing to other tumors of the gastrointestinal tract. Most of the small bowel tumors are malignant and adenocarcinomas, and are usually detected in the duodenum. Similarly, benign tumors of the small bowel are rare and seen in the duodenum. Especially in villous adenomas, the risk of malignant transformation is high. We report a patient with tubulovillous adenoma in the duodenum that was detected as a result of the investiga- tion of weight loss

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Weiss NS, Yang CP. Incidence of histologic types of cancer of the small intestine. J Natl Cancer Inst 1987;78:653-6.

Perez A, Saltzman JR, Carr-Locke DR, et all. Benign nonampullary duodenal neoplasms. Journal of Gastrointestinal Surgery. 2003, 7:536-54

Perzin KH, Bridge MF. Adenomas of the small intestine: a clinicopathologicreview of 51 cases and a study of their relationship to carcinoma.Cancer 1981;48:799-819.

Minardi AJ, Zibari GB, Aultman DF, et al. Small bowel tumors. J Am Collsurg 1998;186:664-8.

Bresalier RS, Ben-Menachem T. Tumors of the small intestine, In:Yamada.Yamada T, Alpers DH, Chung O (eds). Textbook of Gastroenterology. Lippincott Williams & Wilkins. 2003;1643-62.

Murray MA, Zimmerman MJ, Ee HC. Sporadic duodenal adenoma is associated with colorectal neoplasia. Gut. 2004; 53:261-65.

Doi K, Tada S, Fujimoto T, et al. Successful Endoscopic removal of a duodenal adenoma occurring in Brunner’s gland hyperplasia. Digestive endoscopy. 2004; 16: 148-51.

Bozkurt B, Gul G, Guler K, Celik F. Primary Duodenum Adenocarcinoma. Göztepe Tıp Dergisi 2003;18:238-9.