PMID- 35038837 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230112 IS - 2287-1012 (Print) IS - 2287-1292 (Electronic) IS - 2287-1012 (Linking) VI - 27 IP - 4 DP - 2022 Dec TI - Adrenocortical carcinoma and a sporadic MEN1 mutation in a 3-year-old girl: a case report. PG - 315-319 LID - 10.6065/apem.2142100.050 [doi] AB - Childhood adrenocortical carcinoma (ACC) is a rare disease that is mostly linked to familial cancer syndrome. Although the prevalence of ACC is extremely low in children, it is clinically important to diagnose ACC early because age and tumor stage are closely related to prognosis. From this perspective, understanding the underlying genetics and possible symptoms of ACC is crucial in managing ACC with familial cancer syndromes. In this report, we present the case of a 3-year-old girl who initially presented with symptoms of precocious puberty and was later found to have ACC by imaging analysis. On genetic analysis, the patient was found to have a MEN1 gene mutation. MEN1 mutations are found in patients with multiple endocrine neoplasia type 1 (MEN1), usually precipitating multiple endocrine tumors, including pituitary adenoma, parathyroid hyperplasia, and adrenal tumors. Although MEN1 mutation is usually inherited in an autosomal dominant manner, neither of the patient's parents had the same mutation, making hers a case of sporadic MEN1 mutation with initial presentation of ACC. The clinical course and further investigations of this patient are discussed in detail in this report. FAU - Kim, Sung Eun AU - Kim SE AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Lee, Na Yeong AU - Lee NY AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Cho, Won Kyoung AU - Cho WK AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Yim, Jisook AU - Yim J AD - Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Lee, Jae Wook AU - Lee JW AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Kim, Myungshin AU - Kim M AD - Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Chung, Jae Hee AU - Chung JH AD - Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Jung, Min Ho AU - Jung MH AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Suh, Byung-Kyu AU - Suh BK AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Ahn, Moon Bae AU - Ahn MB AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. LA - eng PT - Case Reports DEP - 20220117 PL - Korea (South) TA - Ann Pediatr Endocrinol Metab JT - Annals of pediatric endocrinology & metabolism JID - 101588279 PMC - PMC9816470 OTO - NOTNLM OT - Adrenal gland neoplasm OT - Adrenocortical carcinoma OT - Multiple endocrine neoplasia OT - Precocious puberty COIS- Conflicts of interest No potential conflict of interest relevant to this article was reported. EDAT- 2022/01/19 06:00 MHDA- 2022/01/19 06:01 PMCR- 2022/12/01 CRDT- 2022/01/18 01:22 PHST- 2021/05/03 00:00 [received] PHST- 2021/06/22 00:00 [accepted] PHST- 2022/01/19 06:00 [pubmed] PHST- 2022/01/19 06:01 [medline] PHST- 2022/01/18 01:22 [entrez] PHST- 2022/12/01 00:00 [pmc-release] AID - apem.2142100.050 [pii] AID - apem-2142100-050 [pii] AID - 10.6065/apem.2142100.050 [doi] PST - ppublish SO - Ann Pediatr Endocrinol Metab. 2022 Dec;27(4):315-319. doi: 10.6065/apem.2142100.050. Epub 2022 Jan 17.