Open AccessLaparoscopic resection of gastric gastrointestinal stromal tumors presenting as left adrenal tumors
Author(s) -
Sheng-Ying Chung,
Shih-Chieh Chueh,
HongJeng Yu
Publication year - 2012
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.v18.i1.96
Subject(s) - medicine , gist , stromal tumor , stomach , sunitinib , gastrointestinal tract , imatinib , wedge resection , imatinib mesylate , metastasis , stromal cell , surgery , cancer , resection , myeloid leukemia
Gastrointestinal stromal tumors (GISTs) are rare gastrointestinal malignancies. They are rarely seen near the urinary tract. In a literature review, only one case of GIST presenting as a left adrenal tumor was reported. We report two documented cases of gastric GISTs mimicking left adrenal tumors which were successfully treated with pure laparoscopic adrenalectomy and wedge resection of the stomach by excising the tumor from the stomach with serial firing of endoscopic gastrointestinal staplers. The surgical margins were clear, and the patients recovered smoothly. No adjuvant therapy with imatinib was prescribed. During the surveillance for 9 mo and 44 mo respectively, no tumor recurrence and metastasis were documented. Laparoscopic tumor excision, when adhering to the principles of surgical oncology, seems feasible and the prognosis is favorable for such tumors.