A Rare Form of Cushingâ€™s Syndrome in a 10 Year Old Child
Adrenocortical carcinoma as a cause of Cushingâ€™s syndrome in a child is a rare occurrence. Functioning adrenal carcinomas are detected usually when they are small while non-functioning tumors are incidentally detected when they grow to a large size. Here we report a case of Cushingâ€™s syndrome due to large functioning adrenal carcinoma(>12 cm in size) in a 10 year old female child who presented with clinical features of Cushingâ€™s syndrome along with virilisation. A combination of biochemical laboratory reports along with radiological investigations followed by histopathology helped us to arrive at a proper diagnosis. The tumor was ressected and the patient showed clinical signs of improvement. However, the surgical margin showed invasion by the tumor making a likely possibility of recurrence in the near future.Keywords: Adrenocortical carcinoma; Computed Tomography Scan of abdomen; Cushingâ€™s syndrome; recurrent disease; total resection.
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