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Successful laparoscopic extirpation of a vasoactive intestinal polypeptide-secreting neuroblastic tumor originating from the right adrenal gland: A report of an infantile case
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  • Koshiro Sugita,
  • Tatsuru Kaji,
  • Ayaka Nagano,
  • Mitsuru Muto,
  • Takuro Nishikawa,
  • Hiromu Masuda,
  • Ryo Imakiire,
  • Yasuhiro Okamoto,
  • Mari Imamura,
  • Satoshi Ieiri
Koshiro Sugita
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Tatsuru Kaji
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Ayaka Nagano
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Mitsuru Muto
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Takuro Nishikawa
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Hiromu Masuda
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Ryo Imakiire
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Yasuhiro Okamoto
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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Mari Imamura
Kagoshima Prefecture Oshima Hospital
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Satoshi Ieiri
Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
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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 performed laparoscopically. After tumor removal, the symptoms improved immediately, and her growth caught up by nine 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.