Virilizing adrenal tumor- a case report

We present a case report of a 6 year old female child who presented with virilization secondary to a adrenal tumor. The girl, with no previous history of disease or treatment, presented with clitoromegaly and pubic hair development. The child was investigated and found to have an adrenal tumor. The tumor was 6.3 7.5 6.1 cm and was secreting sex steroids. The tumor was surgically removed. The pathology of the tumor showed large polygonal cells with abundant intensely eosinophilic cytoplasm without mitosis and necrosis. These findings were consistent with an adrenocortical tumor secreting hormones as the cause of virilization in this child.