Duodenal Adenoma
Left and Center: 72 year-old man with a large duodenal polyp on a very thick stalk. The head of the polyp nearly occupies the entire lumen. Biopsies proved this to be a benign adenoma.
Right: Unusual pale, yellowish flat polyp (visible at 2 o'clock position)
in the duodenum of a 47 year-old women with Crohn's ileocolitis. Biopsies demonstrated this lesion to be a tubular adenoma.
Left: Small sessile polyp in the duodenum of a 52 year-old.
Biopsies revealed tubulovillous adenoma with moderate dysplasia.
Center: Sessile, centrally depressed polyp in the descending duodenum of a 64 year-old woman
undergoing endoscopy for evaluation of abdominal pain. The lesion was a benign adenoma on biopsy.
Right: 1 cm sessile polyp in the second portion of the duodenum in a 71 year-old woman undergoing
endoscopy for evaluation of dysphagia, which proved to be caused by esophagitis. The lesion was snared and
proved to be a benign adenoma.
Left: 69 year-old woman with a 3-4 mm sessile polyp in the second portion of the duodenum, resembling lymphangiectasia. Biopsies revealed adenoma without dysplasia.
Center: Same lesion as on left, at the time of repeat endoscopy for the purpose of complete snare polypectomy. The gross appearance was more suggestive of a polyp at this exam. Histology was consistent with complete polyp excision.
Right: Same patient at surveillance endoscopy one year later, with a 3 mm focus of mucosal thickening in the descending duodenum. The lesion was excised with a snare and histology indicated it to be a new or recurrent adenoma without dysplasia.
72 year old woman with upper abdominal pain. Endoscopy revealed a 3.5 cm mass in the descending duodenum. With the forward-viewing instrument, it could not be determined if the mass involved the ampulla. Biopsies revealed tubular adenoma without high grade dysplasia or malignancy in the specimens submitted.
Endoscopic images Copyright © Atlanta South Gastroenterology, P.C. All rights reserved.
Logo is Registered Trademark ® of Atlanta South Gastroenterology, P.C.
This site is presented for educational and general informational purposes only. It does not purport to offer medical advice for any specific medical condition or individual patient. We regret that we cannot provide individualized medical advice online, either via this web site or via email. Please refer to our "Notable Web Sites" section, which offers links to several excellent online sources of additional medical information.