TY - JOUR T1 - STudies of 16-androstenes in an infant with virilizing adrenal carcinoma AU - Gregory T, Gardner LI, Gower DB, Bicknell DC, Barlow MJ Y1 - 1979/03/01 N1 - 10.1001/archpedi.1979.02130030070012 JO - American Journal of Diseases of Children SP - 294 EP - 297 VL - 133 IS - 3 N2 - • An 18-month-old girl with virilization was found to have an encapsulated right adrenal carcinoma (2 × 3 cm) with great variation in nuclear size, frequent mitoses, and possible blood vessel invasion. Preoperative urinary excretions of 17-ketosteroids, androsterone, etiocholanolone, dehydroepiandrosterone, testosterone, pregnanetriol, 3α-androstenol, and 3β-androstadienol were elevated; all showed a noticeable decrease postoperatively. Cortisol acetate, given preoperatively, produced a definite decrease in the urinary excretion of 17-ketosteroids and dehydroepiandrosterone; administration of corticotropin resulted in an increase in levels of urinary 17-ketosteroids, 17-hydroxycorticosteroids, and pregnanetriol. Urinary testosterone and 3β-androstadienol may have diagnostic value since neither was suppressed by cortisol therapy. The behavior of both 3α-androstenol and 3β-androstadienol in this study suggests that they are of adrenal origin.(Am J Dis Child 133:294-297, 1979) SN - 0002-922X M3 - doi: 10.1001/archpedi.1979.02130030070012 UR - http://dx.doi.org/10.1001/archpedi.1979.02130030070012 ER -