title: Concomitant compostite adrenal phoechromocytoma, multipte gastric stromal tumours and pseudohermaphrodism in a patient with von Recklinghausen's disease.
abstract: Although pheochromocytoma occurs in 1% of patients with von Recklinghausen's disease, composite tumors in this syndrome are much rarer, with isolated case reports in the literature. Most gastrointestinal stromal tumors (GISTs) are solitary and sporadic. Multiple GISTs however, are associated with clinical syndromes particularly von Recklinghausen's disease. We believe this is the first report of composite adrenal pheochromocytoma and multiple GISTs occurring in an 82 year old woman with neurofibromatosis type 1 (NF1), manifested by clitoral and subcutaneous neurofibromas, epilepsy and Lisch nodules. The extreme clitoromegaly raised concerns of pseudohermaphrodism at presentation.
authors.affiliation: Department of Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia. dlisewski@swiftdsl.com.au
authors.forename: Dean
authors.initials: D
authors.lastname: Lisewski
authors.forename: Simon
authors.initials: S
authors.lastname: Ryan
authors.forename: Ee Mun
authors.initials: EM
authors.lastname: Lim
authors.forename: Felicity
authors.initials: F
authors.lastname: Frost
authors.forename: Hieu
authors.initials: H
authors.lastname: Nguyen