Open AccessMultiple gastrointestinal stromal tumors and bilateral pheochromocytoma in neurofibromatosis
Author(s) -
Klaus Kramer,
Cornelia Hasel,
Andrik J. Aschoff,
Doris HenneBruns,
Peter Wuerl
Publication year - 2007
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v13.i24.3384
Subject(s) - gist , neurofibromatosis , medicine , pheochromocytoma , stromal tumor , paraganglioma , laparotomy , palpitations , cd117 , neuroendocrine tumors , pathology , radiology , surgery , stromal cell , genetics , stem cell , biology , cd34
The coincidence of a gastrointestinal stromal tumor (GIST) and a neuroendocrine tumor (NET) in neurofibromatosis type 1 (NF1) is described only five times within the literature. We report on a 63 year old Caucasian female with the rare condition of neurofibromatosis type 1 coinciding with recurrent gastrointestinal stromal tumor plus bilateral pheochromocytoma (PCC). After a history of palpitations and dizziness that lasted for years, a left adrenal mass was detected by CT. Laparotomy revealed a pheochromocytoma of the left adrenal gland while an ileoterminal GIST was found incidentally intraoperatively. After six months contralateral PCC and multiple recurrent GIST were resected again. After four years the patient is doing well without any signs of further recurrent tumors. Discussion includes review of the literature.