Skórka Agata, Moszczyńska Elżbieta, Kot Karolina, Roszkowski Marcin, Jurkiewicz Elżbieta, Grajkowska Wiesława, Pronicki Maciej, Pilecki Olgierd, Szalecki Mieczysław
Department of Paediatrics, Medical University of Warsaw, Dzialdowska 1, 01-189, Warsaw, Poland.
Department of Endocrinology and Diabetology, The Children's Memorial Health Institute, Al. Dzieci Polskich 20 04-730, Warsaw, Poland.
Ital J Pediatr. 2015 Sep 2;41:62. doi: 10.1186/s13052-015-0169-8.
The adrenocortical rest tumours are the very rare entity in the pediatric population. They are usually found along the gonadal descent paths (celiac axis, the broad ligamen, the adnexa of the testes or the spermatic cord). They have been also described to occur at rare ectopic sites like intracranial locations, placenta, kidney, pancreas and liver.
Here we present a unusual case of an ectopic, virilising, primary adrenocortical tumour localized in the spinal region in a 8 years-old-boy.
This is the first case of functional ectopic, adrenocortical tumour localized in the spinal region in a pediatric population. We discuss here the clinical presentation and the diagnostic challenges and provide the review of the literature.
肾上腺皮质残余肿瘤在儿科人群中极为罕见。它们通常沿着性腺下降路径(腹腔轴、阔韧带、睾丸附件或精索)发现。也有报道称其发生在罕见的异位部位,如颅内、胎盘、肾脏、胰腺和肝脏。
在此,我们呈现一例罕见病例,一名8岁男孩的异位、导致男性化的原发性肾上腺皮质肿瘤位于脊柱区域。
这是儿科人群中首例位于脊柱区域的功能性异位肾上腺皮质肿瘤。我们在此讨论临床表现和诊断挑战,并提供文献综述。