Multiple gastrointestinal stromal tumors in neurofibromatosis type 1 treated with laparoscopic surgery.
Gastrointestinal stromal tumors (GISTs) have been reported to occasionally occur in patients with neurofibromatosis type 1 (NF-1), and many cases have had multiple lesions predominantly involving the small intestine. We report herein a case of multiple GISTs associated with NF-1 from whom laparoscopic surgery was beneficial. In a 79-year-old female admitted with anemia and melena, the abdominal computed tomography revealed a tumor arising from the small intestine. Laparoscopic surgery was performed, and another small tumor was revealed during laparoscopic observation. Extracorporeal partial and wedge resection of the small intestine were undertaken. Both lesions were diagnosed as typical GISTs of low risk. Laparoscopic surgery would be useful for examination and a minimally invasive approach to tumors of the small intestine, especially on cases with the possibility of multiple tumors.
Tsukuda
Kazunori
K
Department of Surgery, Okayama Red Cross General Hospital, Okayama 700-8607, Japan. kazu.tsukuda@nifty.com
Ikeda
Eiji
E
Takagi
Shoji
S
Miyake
Takayoshi
T
Muraoka
Takayuki
T
Watanabe
Keitaro
K
Hirai
Ryuji
R
Moriyama
Shigeharu
S
Nawa
Sugato
S
Kunitomo
Tadayoshi
T
Tsuji
Hisashi
H
D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D033162:Incidental Findings; D010535:Laparoscopy; D009456:Neurofibromatosis 1 / Q000150:complications*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome