A case of virilzing adrenocortical carcinoma diagnosed by urine steroid profiling

Introduction Childhood adrenocortical carcinoma is rare and has poor prognosis. Histopathological examination often helps in differentiating between benign versus malignant adrenal tumors. However, the diagnostic accuracy of adrenal biopsies varies and could be affected by the sampling and the quality of the specimen. Urine steroid profiling (USP) has been used to differentiate between malignant tumors from benign ones. We report a case of virilizing adrenocortical carcinoma in which the diagnosis was made with the help of the characteristic USP findings