A pediatric patient with an adrenocortical tumor may experience a combination of Cushing's disease, precocious puberty and/or virilization.
Clinical features related to the tumor itself:
(1) palpable abdominal mass
Clinical features related to excess glucocorticoids:
(1) buffalo hump
(2) moon face
(3) centripetal fat distribution
(5) weight gain
Clinical features of androgenic steroids:
(1) pubic hair
(2) clitoral or penile hypertrophy
(4) deep voice
(5) facial hair
(7) accelerated growth velocity
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Purpose: To evaluate a pediatric patient for clinical findings that may indicate the presence of an adrenocortical tumor.
Specialty: Endocrinology, Clinical Laboratory
Objective: clinical diagnosis, including family history for genetics
ICD-10: D35.0, C74.0,