Adrenal carcinoma Case Report

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María Fernanda Vicuña Pozo
Jenny Elizabeth Arboleda Bustán
Juan Felipe Alarcón Salvador

Abstract

Introduction: Adrenal carcinoma is a malignant neoplasm representing 0.2% of malignant tumors. Its etiology is unknown, although the existence of a predisposing effect due to high concentrations of ACTH is suspected.


Clinical case: This is a 5-year-old female patient with seizures and high blood pressure symptoms. On physical examination of the abdomen, a mass was palpated at the level of the left hemiabdomen that exceeded the midline, non-mobile, non-painful, with irregular edges, virilization of the external genitalia.


Diagnostic workshop: Laboratory tests determined hypercortisolism and hyperandrogenism. Abdominal tomography reports left adrenal region: space-occupying mass with defined borders, liver of homogeneous shape and size, in segment II: defined hypodense lesion of 2 cm.


Evolution: Once the arterial hypertension was controlled, left adrenalectomy was performed, plus lymph node dissection, and the diagnosis of adrenal carcinoma was confirmed with the histopathological study. After the patient's poor prognosis, chemotherapy was started, which decompensated and presented multisystem failure. Patient dies.


Conclusions: Adrenal carcinoma has a poor prognosis in advanced cases, as in the present case.

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How to Cite
Vicuña Pozo, M. F., Arboleda Bustán, J. E., & Alarcón Salvador, J. F. (2022). Adrenal carcinoma: Case Report. Revista Ecuatoriana De Pediatría, 23(1), 80-85. https://doi.org/10.52011/127
Section
Clinical Case
Author Biographies

María Fernanda Vicuña Pozo, Pediatric Urology Service, Baca Ortiz Pediatric Hospital. Quito

General Physician from the Escuela Superior Politécnica de Chimborazo (2011), Magister in Quality Management and Health Audit (Universidad Técnica Particular de Loja, 2021).

Jenny Elizabeth Arboleda Bustán, Pediatric Urology Service, Baca Ortiz Pediatric Hospital. Quito

General Practitioner from the National University of Loja (2008), Master in Medical Emergencies (University of Guayaquil, 2012), Specialist in Pediatric Surgery (International University of Ecuador, 2016), Master in Pediatric Urology (University of Barcelona, ​​2019)

Juan Felipe Alarcón Salvador, Postgraduate Department of Urology, Faculty of Medical Sciences, Central University of Ecuador, Quito

Doctor from the Central University of Ecuador (2015). Postgraduate in the specialty of Urology from the Central University of Ecuador.