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Int J Pediatr Endocrinol. 2019;2019:6. doi: 10.1186/s13633-019-0068-7. Epub 2019 Nov 22.

Adrenocortical adenoma in a Sudanese girl with Beckwith-Wiedemann syndrome.

Author information

1
1Endocrine Division, Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, P.O.Box:102, Khartoum, Sudan.
2
2Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

Abstract

Background:

We report a case of right adrenocortical adenoma in a girl with features suggestive of Beckwith Wiedemann syndrome to show the importance of tumor surveillance in patients with Beckwith Wiedemann syndrome.

Case presentation:

A 4-years-old female with features suggestive of Beckwith-Wiedemann syndrome presented with 9 months history of virilization. Hormonal investigations results showed high levels of testosterone (2.3 ng/ml, normal values 0.1-0.4 ng/ml), and DHEAS (73 ng/ml normal values 1-6 ng/ml) with normal cortisol level. Computed tomography revealed a right adrenal mass. She underwent right adrenalectomy. Histopathological examination of the resected adrenal gland showed adrenocortical adenoma. Her postoperative evaluation showed a normal testosterone level.

Conclusion:

Adrenocortical neoplasms though rare in children are well documented in Beckwith-Wiedemann syndrome patients. So tumor surveillance protocol should be employed, even in a resource-limited setting for early tumor detection and a better outcome.

KEYWORDS:

Adrenocortical adenoma; Beckwith-Wiedemann; Resource-limited setting; Virilization

Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

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