Laparoscopic treatment of adrenal masses in children: Report
An 8-year-old female was referred by neurologist colleagues to our institute with a diagnosis of left adrenal neuroblastomas in a patient with the opsomioclonic syndrome. This is a rare paraneoplastic paediatric syndrome, also known by the name of “dancing eyes syndrome” characterised by neurological disorders, such as opsoclonus, a rapid eyes movements in all planes of space, ataxia, myoclonus, irritability and psychomotor regression. Another characteristic of the pathology is that the peripheral neuroblastic tumour associated with this syndrome generally is poorly aggressive, with favourable histology and biology and high rate of 5-years survival. The abdominal computerised axial tomography computed tomography (CT) scan demonstrated that the left adrenal gland presented a solid lesion of diameter of 30 mm with progressive and dishomogeneous enhancement [Figure 1]; the metaiodobenzylguanidine (MIBG) scintigraphy also showed a pathological fixation of MIBG in the left adrenal gland corresponding to the formation detected by CTS....