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Carcinoid :

Brunners gland adenoma : Leiomyoma : neoplasm of


-Arise from neuroendocrine
- Very rare cells smooth muscle in the stomache
-symptom Due to bleeding or -secretes large amount of but very rare in duodenal
intestinal obstuction serotonin -pain resembling peptic disease

Villous adenoma :
Heterotopic gastric mucosa : associated more often with larger
-finding normal tissue on foreign adenomas and more severe
sites Benign degrees of dysplasia.
-no clinical significance (cauliflowerlike projections)

TUMOR DUODENUM

Symptoms : Treatment :
-pancreatico-duodenectomy for
Malignant -pain, obstuction
localized lesions
bleeding and -paliative bypass procedures if not
jaundice resectable
-radiotherapy

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