title: Heterosexual precocity: rare manifestation of virilizing adrenocortical oncocytoma.
abstract: Adrenocortical oncocytomas are extremely rare, and most of the tumors are benign and nonfunctioning. To our knowledge, only 30 cases have been reported in English published studies, and most patients are 40 to 60 years of age. So far, in the pediatric age group, only three cases of functioning adrenocortical oncocytoma have been reported. We report a case of functioning adrenocortical oncocytoma in a 3 1/2-year-old female child who presented with premature pubarche, clitoromegaly, and increased serum dehydroepiandrosterone sulfate and testosterone. She was managed successfully with right adrenalectomy, and the tumor histology was consistent with adrenal oncocytoma.
authors.affiliation: Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. drsridharjipmer@gmail.com
authors.forename: Sridhar
authors.initials: S
authors.lastname: Subbiah
authors.forename: Uma
authors.initials: U
authors.lastname: Nahar
authors.forename: Ram
authors.initials: R
authors.lastname: Samujh
authors.forename: Anil
authors.initials: A
authors.lastname: Bhansali
mesh_terms: D018249:Adenoma, Oxyphilic / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods; D002675:Child, Preschool; D002987:Clitoris / Q000473:pathology; D003687:Dehydroepiandrosterone / Q000097:blood; D005260:Female; D006801:Humans; D011629:Puberty, Precocious / Q000209:etiology*; D013739:Testosterone / Q000097:blood; D014770:Virilism / Q000209:etiology
chemical_list: D013739:Testosterone; D003687:Dehydroepiandrosterone