1.A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception.
Jeong Hwan CHO ; Jin Seok JANG ; Chae Ryeong JANG ; Seung Uk LEE ; Myung Hwan ROH ; Sang Young HAN ; Seok Reyol CHOI ; Jin Han CHO ; Sook Hee HONG
Korean Journal of Gastrointestinal Endoscopy 2007;35(2):100-104
Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5x4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination.
Adenoma*
;
Adult
;
Anemia*
;
Duodenum
;
Dyspnea
;
Endoscopy, Digestive System
;
Gastrointestinal Hemorrhage
;
Hemorrhage
;
Humans
;
Intussusception*
;
Melena
;
Pylorus*
;
Rare Diseases
;
Upper Gastrointestinal Tract
2.A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception.
Jeong Hwan CHO ; Jin Seok JANG ; Chae Ryeong JANG ; Seung Uk LEE ; Myung Hwan ROH ; Sang Young HAN ; Seok Reyol CHOI ; Jin Han CHO ; Sook Hee HONG
Korean Journal of Gastrointestinal Endoscopy 2007;35(2):100-104
Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5x4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination.
Adenoma*
;
Adult
;
Anemia*
;
Duodenum
;
Dyspnea
;
Endoscopy, Digestive System
;
Gastrointestinal Hemorrhage
;
Hemorrhage
;
Humans
;
Intussusception*
;
Melena
;
Pylorus*
;
Rare Diseases
;
Upper Gastrointestinal Tract
3.Sequential Changes in Aberrant Crypt Foci and Lectin Expression in the Early and Late Stages of DMH-Induced Colon Carcinogenesis in Rats.
Hye Sung WON ; Lee So MAENG ; Hiun Suk CHAE ; Hyung Keun KIM ; Young Suk CHO ; Jin Hyoung KANG ; Hong Seok JANG ; Mi Ryeong RYU
Gut and Liver 2012;6(2):229-234
BACKGROUND/AIMS: The purpose of this study was to investigate the malignant potential of aberrant crypt foci (ACF) by measuring the multiplicity of crypts and lectin expression in the early and late stages of 1,2-dimethylhydrazine (DMH)-induced colon carcinogenesis. METHODS: Six-week-old Wistar rats were injected subcutaneously with DMH for 27 weeks. We classified ACF according to the number of crypts per ACF as a few crypts (< or =3 crypts, FC ACF) or numerous crypts (> or =4 crypts, NC ACF). Immunohistochemistry was used to evaluate lectin expression. RESULTS: In the early stage, FC ACF (590/1,902, 31.0%) occurred more frequently than NC ACF (35/449, 7.8%); whereas in the late stage, NC ACF (176/449, 39.2%) occurred more frequently than FC ACF (324/1,902, 17.0%). The number of ACF peaked at 15 to 20 weeks. The ratio of NC/FC ACF increased gradually during carcinogenesis. The expression of both UEA1 and PNA was higher in NC ACF than FC ACF. Lectin expression increased in the late stage compared with the early stage. CONCLUSIONS: The expression of lectin was higher in NC ACF and ACF in the late stage. Therefore, ACF with higher multiplicities in the late stage may have more malignant potential in DMH-induced colon carcinogenesis.
1,2-Dimethylhydrazine
;
Aberrant Crypt Foci
;
Animals
;
Colon
;
Dimenhydrinate
;
Immunohistochemistry
;
Peanut Agglutinin
;
Rats
;
Rats, Wistar
4.A Case of Giant Gastric Villous Tumor with Carcinomatous Change.
Chae Ryeong JANG ; Seok Reyol CHOI ; Jeong Hwan CHO ; Young Hun KOO ; Seung Ho HAN ; Seung Hoon RYU ; Dong Hyun LEE ; Jin Seok JANG ; Jong Hun LEE ; Myung Hwan ROH ; Jin Han CHO
The Korean Journal of Gastroenterology 2005;45(6):431-435
Villous tumors of the stomach are somewhat rare with approximately 100 cases only reported in the literatures and have tendency to undergo malignant transformation as high as 72%. They are frequently multiple and associated with other gasrtrointestinal neoplasm. Thirty percent of them are associated with an independent gastric carcinoma. Gastric villous tumor has certain radiologic characteristics that may permit a preoperative diagnosis and also some distinctive clinicopathologic features which make early diagnosis and proper treatment possible. We experienced a 64-year-old man who complained of prolonged general weakness, weight loss for several months and left upper quadrant pain for four days. Esophagogastroduodenoscopy and barium study of upper gastrointestinal tract demonstrated typical, irregular, frond-like surfaced villous tumor occupying nearly whole gastric lumen and located eccentrically along the lesser curvature side. Endoscopic biopsy of the tumor revealed a gastric villous tumor with carcinomatous change.
Adenoma, Villous/pathology/radiography
;
Carcinoma/pathology/radiography
;
Humans
;
Male
;
Middle Aged
;
Stomach Neoplasms/*pathology/radiography
5.Study on the therapeutic efficacy and complications of radio-frequency ablation according to the diameter and location of hepatocellular carcinoma.
Jung Nam YOO ; Woo Won SHIN ; Ki Tae KANG ; Jung Hwan CHO ; Sung Hun MOON ; Uk Don YUN ; Chae Ryeong JANG ; Tae Yeong LEE ; Won Suk AN ; Jong Hun LEE ; Myung Hwan ROH ; Sang Young HAN ; Seok Ryeol CHOI
Korean Journal of Medicine 2002;63(5):507-512
BACKGROUND: Induction of coagulation necrosis by using thermal energy sources such as radio-frequency (RF), microwaves and lasers has recently been as a new, minimally invasive technique for percutaneous tumor ablation. RF ablation is considerd effective and safe for the local control of small HCCs. The aim of this study is to evaluate the therapeutic efficacy and complications according to the diameter and location of the HCC. METHODS: Between May 1999 and December 2000, one hundred fifty patients underwent RF thermal ablation in Dong-A university hospital. Among them, forty nine patients were enrolled in this study who have no history of prior other treatment including hepatic resection, TAE, PEI, and chemotherapy, also who have follow-up CT performed at least six months after ablation. The patients devided into two groups, who have small HCC (