title: Adrenocortical carcinoma with extension to the inferior vena cava and right atrium: 20-month-old girl with TP53 mutation.
abstract: A 20-month-old female presented with respiratory distress and a right adrenal mass extending into the inferior vena cava and right atrium. The mass was initially thought to be neuroblastoma. Pathology later revealed adrenocortical carcinoma. Inferior vena cava extension is far more common in adrenocortical carcinoma than neuroblastoma, and its presence should prompt clinical and laboratory evaluation for an adrenocortical tumor. The genetic findings in TP53 associated with this disease are discussed.
authors.affiliation: Department of Radiology, Division of Pediatric Radiology, Children's Hospital at Montefiore Medical Center, Bronx, NY.
authors.forename: Terry L
authors.initials: TL
authors.lastname: Levin
authors.affiliation: Department of Radiology, Division of Pediatric Radiology, Columbia Presbyterian Medical Center, New York, NY.
authors.forename: Walter E
authors.initials: WE
authors.lastname: Berdon
authors.affiliation: Department of Pediatrics, Division of Pediatric Hematology and Oncology, Children's Hospital at Montefiore Medical Center, Bronx, NY.
authors.forename: Daniel
authors.initials: D
authors.lastname: Weiser
authors.affiliation: Department of Oncology, Leukemia and Lymphoma Division, St. Jude's Children's Research Hospital, Memphis TN.
authors.forename: Raul C
authors.initials: RC
authors.lastname: Ribeiro