Levin Terry L, Berdon Walter E, Weiser Daniel, Ribeiro Raul C
Department of Radiology, Division of Pediatric Radiology, Children's Hospital at Montefiore Medical Center, Bronx, NY.
Department of Radiology, Division of Pediatric Radiology, Columbia Presbyterian Medical Center, New York, NY.
Radiol Case Rep. 2016 Feb 17;10(2):1084. doi: 10.2484/rcr.v10i2.1084. eCollection 2015.
A 20-month-old female presented with respiratory distress and a right adrenal mass extending into the inferior vena cava and right atrium. The mass was initially thought to be neuroblastoma. Pathology later revealed adrenocortical carcinoma. Inferior vena cava extension is far more common in adrenocortical carcinoma than neuroblastoma, and its presence should prompt clinical and laboratory evaluation for an adrenocortical tumor. The genetic findings in TP53 associated with this disease are discussed.