Infantile virilization secondary to malignant etiology: a ca
Adrenocortical tumor is a rare malignancy (1–2/million) in children with a heterogenous presentation and generally poor prognosis.

Published in the Indian Journal of Surgical Oncology, the authors report two cases of adrenocortical carcinoma who presented primarily with virilization along with cushingoid features and hypertension. Both children were managed with surgical resection of tumor, steroid replacement, and antihypertensives.

Case 1
An 8-month-old girl presented with excessive weight gain, predominantly in the truncal region and face, hirsutism, and pubic hair growth. On examination, cushingoid phenotype was observed with hirsutism, facial and pubic hair, clitoromegaly, and hypertension, BP 142/90 mmhg

Case 2
A 7-month-old female child presented with rapid weight gain and hirsutism. On detailed physical examination, she was having excessive pubic hair, clitoromegaly, hypertension [BP—148/88], and cushingoid features. Abdominal palpation showed lump in the left side of the abdomen.

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