患者女性,44岁。返酸、烧心、呃逆1年,近1个月觉胸骨后不适饱胀、纳差。无恶心、呕吐、腹痛、腹泻及便血史。胃镜示十二指肠降部有一呈粉红色、质软、突向腔内的肿块,广基,表面光滑(图1)。活检组织病理诊断为“十二指肠黏膜慢性炎症”。院外口服消炎药治疗3周后复查胃镜肿块无 Female patient, 44 years old. Back to acid, heartburn, hiccups 1 year, nearly 1 month after feeling discomfort full sternum, anorexia. No nausea, vomiting, abdominal pain, diarrhea and history of blood in the stool. Gastroscopy shows the descending part of the duodenum pink, soft, protruding into the cavity of the tumor, wide base, smooth surface (Figure 1). Biopsy histopathology diagnosed as “chronic inflammation of the duodenal mucosa.” Oral anti-inflammatory drugs after 3 weeks of review of gastroscopy mass no