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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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