Successful laparoscopic extirpation of a vasoactive intestinal polypeptide-secreting neuroblastoma originating from the right adrenal gland: A report of an infantile case |
| |
| Authors: | Koshiro Sugita Tatsuru Kaji Mitsuru Muto Takuro Nishikawa Yasuhiro Okamoto Mari Imamura Satoshi Ieiri |
| |
| Affiliation: | 1. Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan;2. Department of Pediatrics, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan;3. Department of Pediatrics, Kagoshima Prefecture Oshima Hospital, Amami, Japan |
| |
| Abstract: | We herein report a 10-month-old female infant with a 4-month history of diarrhea with electrolyte abnormalities and growth impairment. A 4-cm right adrenal tumor was detected by computed tomography. No metastasis or accumulation on I123-metaiodobenzylguanidine scintigraphy was recognized in the tumor. A vasoactive intestinal peptide-secreting neuroblastic tumor was suspected, and octreotide was started, but the diarrhea persisted. Tumor extirpation was laparoscopically performed. After tumor removal, the symptoms improved immediately, and her growth caught up by 9 months after surgery. A minimally invasive approach for pediatric solid tumor is difficult, especially for neuroblastoma, but may be beneficial for the patient's recovery. |
| |
| Keywords: | laparoscopic surgery neuroblastoma vasoactive intestinal polypeptide-secreting tumor |
|
|
