TY - JOUR ID - 8371 TI - Nonfunctional Adrenocortical Carcinoma with Foci of Osseous Metaplasia in a Young Girl JO - Iranian Journal of Pathology JA - IJP LA - en SN - 1735-5303 AU - Parampalli Srinivas, Srilatha AU - Roy, Alfred AU - kumar, Vijay AD - Dept. of Pathology, Melaka Manipal Medical College, Manipal University, Manipal, India AD - Dept. of Pathology, KMC International Centre, Manipal University, Manipal, India AD - Dept. of Paediatric Surgery, Kasturba Medical College and Hospital, Manipal University, Manipal, India Y1 - 2012 PY - 2012 VL - 7 IS - 2 SP - 130 EP - 134 KW - Adrenocortical Carcinomas KW - bone KW - Metaplasia DO - N2 - Nonfunctional adrenocortical carcinoma is an extremely rare malignant tumor in children. Unlike the functional tumor which is detected early due to its hormonal presentation, nonfunctional tumor is detected at a later stage. Here we report a case of a 10 year old girl who presented with abdominal mass and symptoms of short duration. No hypertension and cushingoid features were seen. Serum alpha-fetoprotein, urine vanillyl mandelic acid and homovanillic acid levels were not elevated. CT scan showed multiple pulmonary nodules suggestive of metastatic deposits. With gross and light microscopic findings differential diagnoses of hepatoblastoma, paraganglioma, renal cell carcinoma, adrenal cortical and medullary tumours were made. An array of immunohistochemical markers was done and the final diagnosis given was nonfunctional adrenocortical carcinoma with foci of osseous metaplasia.  UR - https://ijp.iranpath.org/article_8371.html L1 - https://ijp.iranpath.org/article_8371_41ea86a7f974e9686ee9f3d663b4680c.pdf ER -