Background: Adrenal cortical carcinoma is a rare malignant tumor which presents mainly in late adulthood with an equal age distribution. The tumor is usually functionally active. Case report: The present study reports two 11-month-old female infants with abdominal mass and virilysm who underwent radical nephrectomy. The final diagnosis was adrenal cortical carcinoma with regional lymph node metastasis which was confirmed by other paraclinical tests. Conclusion: Adrenal cortical carcinoma should be considered as a differential diagnosis in pediatric abdominal and renal mass. Ke
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