Adrenocortical carcinoma - 12-year observation period in a single centre. Case report with literature review

Pediatr Endocrinol Diabetes Metab. 2023;29(3):202-208. doi: 10.5114/pedm.2023.132131.

Abstract

Background: Adrenocortical carcinoma (ACC) accounts for 0.2% of childhood malignancies. The most common symptom in children is rapidly progressive androgenization. Herein, we report a case of a patient with symptoms of hypercortisolaemia and androgenization, who was diagnosed with ACC.

Case presentation: In a 10-year-old patient with ACC the course of the disease was complicated by 3 recurrences. She was treated with surgery, chemo-, and radiotherapy. Currently, 8 years after the end of treatment, there have been no signs of recurrence.

Conclusions: A patient after ACC treatment requires regular check-ups and long-term observation. Constant supervision enables early diagnosis of disease recurrence, and the use of treatment improves the prognosis.

Keywords: adrenocortical tumour; mitotan.; adrenocortical carcinoma.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Adrenal Cortex Neoplasms* / diagnosis
  • Adrenal Cortex Neoplasms* / surgery
  • Adrenocortical Carcinoma* / diagnosis
  • Adrenocortical Carcinoma* / surgery
  • Child
  • Female
  • Humans
  • Virilism