Case Report
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World J Gastroenterol. Jan 7, 2012; 18(1): 96-98
Published online Jan 7, 2012. doi: 10.3748/wjg.v18.i1.96
Laparoscopic resection of gastric gastrointestinal stromal tumors presenting as left adrenal tumors
Shiu-Dong Chung, Jeff Shih-chieh Chueh, Hong-Jeng Yu
Shiu-Dong Chung, Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei 22060, Taiwan, China
Jeff Shih-chieh Chueh, Hong-Jeng Yu, Department of Urology, National Taiwan University Hospital, Taipei 10051, Taiwan, China
Jeff Shih-chieh Chueh, Cleveland Clinic Urology Charleston Office, Glickman Urological and Kidney Institute, Cleveland Clinic, Charleston, WV 25301, United States
Jeff Shih-chieh Chueh, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44195, United States
Author contributions: Chung SD wrote the paper; Chueh JS performed the operation and research; and Yu HJ provided critical revision.
Correspondence to: Jeff Shih-chieh Chueh, MD, PhD, Cleveland Clinic Urology Charleston Office, Glickman Urological and Kidney Institute, Cleveland Clinic, 1201 Washington Street, East, Suite No. 100, Charleston, WV 25301, United States.
Telephone: +1-304-3886375 Fax: +1-304-3886376
Received: March 16, 2011
Revised: April 5, 2011
Accepted: April 12, 2011
Published online: January 7, 2012

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.

Keywords: Gastrointestinal stromal tumor, Stomach, Laparoscopy