title: [Androgen-producing adrenocortical adenoma in childhood. Pitfalls of differential diagnosis].
abstract: A two-year-old girl presented with clitoromegaly and an abdominal mass. Diagnostic procedures including sonography, computerized tomography, scintigraphy and measurement of catecholamines in urine excluded neuroblastoma, but suspected Wilms-tumor. Before completing the steroid measurements therapy was initiated according to Wilms-tumor (preoperative cytostatic therapy followed by surgical removal of the tumor). Morphology of the tumor, the serum and urinary steroid profile proved a benign adrenocortical adenoma producing mainly delta 5-steroids including the weak androgen, dehydroepiandrosterone.
authors.affiliation: II. sz. Gyermekgyógyászati Klinika, Semmelweis Orvostudományi Egyetem, Budapest.
authors.forename: K
authors.initials: K
authors.lastname: Gyulay
authors.forename: T
authors.initials: T
authors.lastname: Niederland
authors.forename: G
authors.initials: G
authors.lastname: Rudas
authors.forename: E
authors.initials: E
authors.lastname: Kontor
authors.forename: A
authors.initials: A
authors.lastname: Zalatnai
authors.forename: L
authors.initials: L
authors.lastname: Kopper
authors.forename: J
authors.initials: J
authors.lastname: Homoki
authors.forename: J
authors.initials: J
authors.lastname: Borsi
authors.forename: J
authors.initials: J
authors.lastname: Sólyom
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography