Virilizing Adrenocortical Carcinoma Advancing to Central Precocious Puberty after Surgery
| Autor: | Dae Yeol Lee, Dong Hyu Cho, Min Sun Kim, Pyung Han Hwang, Eu Jeen Yang |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Agonist
medicine.medical_specialty business.industry medicine.drug_class Central precocious puberty Case Report Androgen medicine.disease Virilism Pubic hair Surgery medicine.anatomical_structure Adrenocortical Carcinoma Central Precocious Puberty Medicine Adrenocortical carcinoma Family Practice business Penis enlargement Acne Hormone |
| Zdroj: | Korean Journal of Family Medicine |
| ISSN: | 2092-6715 2005-6443 |
| DOI: | 10.4082/kjfm.2015.36.3.150 |
| Popis: | Adrenocortical carcinoma (ACC) in pediatric and adolescent patients is rare, and it is associated with various clinical symptoms. We introduce the case of an 8-year-old boy with ACC who presented with peripheral precocious puberty at his first visit. He displayed penis enlargement with pubic hair and facial acne. His serum adrenal androgen levels were elevated, and abdominal computed tomography revealed a right suprarenal mass. After complete surgical resection, the histological diagnosis was ACC. Two months after surgical removal of the mass, he subsequently developed central precocious puberty. He was treated with a gonadotropin-releasing hormone agonist to delay further pubertal progression. In patients with functioning ACC and surgical removal, clinical follow-up and hormonal marker examination for the secondary effects of excessive hormone secretion may be a useful option at least every 2 or 3 months after surgery. |
| Databáze: | OpenAIRE |
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