Adrenocortical Tumor in a 20-Month-Old Female

    October 2008 in “ DOAJ (DOAJ: Directory of Open Access Journals) ”
    Mohammad Reza Darabi Mahboob (MD), Alireza Delijani (MD), Mohammad Reza Darabi Mahboob (MD), Alireza Delijani (MD)
    TLDR A 20-month-old girl had a rare adrenal tumor removed successfully, with no recurrence for 10 years.
    This case report described a rare instance of an adrenocortical virilizing tumor in a 20-month-old female, characterized by increased bone mass, pubic hair growth, and changes in external genitalia. 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 successful 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 recurrence of pathological lesions.
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