Successful laparoscopic extirpation of a vasoactive intestinal polypeptide‐secreting neuroblastoma originating from the right adrenal gland: A report of an infantile case. Issue 3 (3rd January 2021)

• Record Type: Journal Article
• Authors: Sugita, Koshiro; Kaji, Tatsuru; Muto, Mitsuru; Nishikawa, Takuro; Okamoto, Yasuhiro; Imamura, Mari; Ieiri, Satoshi
• Is Part Of: Asian journal of endoscopic surgery. Volume 14:Issue 3(2021)
• Page Start: 611
• Page End: 614
• Publication Date: 2021-01-03
• Subjects: laparoscopic surgery -- neuroblastoma -- vasoactive intestinal polypeptide‐secreting tumor; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12916
• Languages: English
• ISSNs: 1758-5902

Abstract

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 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.