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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