Adrenocortical Tumor in a 20-Month-Old Female

    Mohammad Reza Darabi Mahboob (MD), Alireza Delijani (MD), Mohammad Reza Darabi Mahboob (MD), Alireza Delijani (MD)
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    Studysummary This case report describes a 20-month-old female with a rare adrenocortical virilizing tumor, successfully treated with surgery, showing no pathological lesions over a 10-year follow-up.
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    Adrenocortical virilizing tumors were rare in the pediatric age group, with a 1% incidence for adrenal cancer. This case report described a 20-month-old female who presented with signs of virilization, including increased bone mass and pubic hair growth. Laboratory tests revealed elevated levels of testosterone, androstenedione, progesterone, and a very high level of dehydroepiandrosterone. A CT scan identified a right adrenal mass larger than 5 cm. The patient underwent open surgical adrenalectomy via a lumbar incision, and the pathological examination confirmed adrenal carcinoma. The patient was discharged 5 days post-operation and followed up for 10 years without any pathological lesions.
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