Abstract
Adrenocortical carcinoma in children is a rare tumor developed from the adrenal cortical cells. A very important step in the diagnosis process is represented by the tumor biopsy and the immunohistochemical exam of the resection piece, adding the molecular analysis. The suggestive findings for the diagnosis are: abdominal or suprarenal gland mass, virilization syndrome, Cushing or adrenogenital syndrome and primary hyperaldosteronism with secondary hypertension. We present the case of a 13-year-old boy who was diagnosed in our clinic with adrenocortical carcinoma and who had a fatal evolution in only 18 days, in the context of metastatic tumor complicated with malignant hypertension.
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