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Metastatic Congenital Adrenocortical Carcinoma: A Case Report with Tumor Remission at 31/2 Years

Departments of Pediatrics (M.A.G., M.P.A., R.I.P., M.M.Z., J.T., T.A.W.), Surgery (C.J.P.), and Pathology (P.K.), State University of New York, Stony Brook, New York 11794-8111

Address all correspondence and requests for reprints to: Thomas A. Wilson, M.D., Department of Pediatrics, State University of New York, Stony Brook, New York 11794-8111. E-mail: twilson{at}mail.som.sunysb.edu

We describe a case of metastasizing congenital adrenocortical carcinoma and a follow-up of 3 1/2 yr. Treatment with surgery and mitotane was associated with multiple complications. The patient was in remission at 3 1/2 yr. Because of the rarity of this condition, we discuss step-by-step problems encountered during management.

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