# Metastatic Adrenocortical Carcinoma of the Lung In A Four Years Old Child

## Authors

- Lulu Abdulaziz Alobaid ([ORCID](https://orcid.org/0000-0003-0566-0369)) — Medical intern at King Saud University, Riyadh, Saudi Arabia
- Ilhama Jafari — Associate Consultant at Pediatric Surgery at King Fahad Medical City, Riyadh, Saudi Arabia
- Osama Almosallam ([ORCID](https://orcid.org/0000-0002-9036-7564)) — Fellow at Pediatric Surgery department at Qassim University, Qassim, Saudi Arabia
- Muhammed Amin ur Rahman ([ORCID](https://orcid.org/0009-0007-8758-2347)) — Histopathologist at King Fahad Medical City, Riyadh, Saudi Arabia.
- Abdulwahhab Aljubab — Consultant at Pediatric Surgery at King Fahad Medical City, Riyadh, Saudi Arabia

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 4, Issue 1 (2018), pages 38–43
- **Article type:** Case Report
- **Published online:** 2018-03-28
- **DOI:** [10.5455/umj.20180123053002](https://doi.org/10.5455/umj.20180123053002)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=289039
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/289039.pdf

## Abstract

Background: Studies of adrenocortical carcinoma is an aggressive rare type of endocrine tumors. It possesses a high mortality rate. This type of carcinomas occurs sporadically, while it could be part of hereditary syndromes. Only limited data is found about the recurrence of these tumors after resection and their prognosis is unclear. Case Presentation: We present a case of a four-year-old boy who presented with virilization symptoms and was referred for further investigation of left abdominal mass. He was cushingoid upon examination. The patient was managed by left nephrectomy and chemotherapy. Upon follow up, the residual mass lesion was seen on CT. Re-resection of the residual tumor was done. Adjuvant mitotane therapy and radiotherapy were started, 7 months later the patient was discovered to have left lung metastasis in which he underwent left lung wedge resection.

## Keywords

Adrenocortical tumors; adrenocortical carcinoma; lung metastasis

## How to cite

Alobaid LA, Jafari I, Almosallam O, Rahman MAU, Aljubab A. Metastatic Adrenocortical Carcinoma of the Lung In A Four Years Old Child. Ulutas Med J. 2018;4(1):38-43. doi:10.5455/umj.20180123053002

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