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Successful laparoscopic extirpation of a vasoactive intestinal polypeptide‐secreting neuroblastoma originating from the right adrenal gland: A report of an infantile case
Author(s) -
Sugita Koshiro,
Kaji Tatsuru,
Muto Mitsuru,
Nishikawa Takuro,
Okamoto Yasuhiro,
Imamura Mari,
Ieiri Satoshi
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12916
Subject(s) - medicine , vasoactive intestinal peptide , neuroblastoma , diarrhea , vasoactive , scintigraphy , metastasis , surgery , cancer , receptor , neuropeptide , biology , genetics , cell culture
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 I 123 ‐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.