ABSTRACT
Adrenal problems usually present with mass effects or with systemic manifestations of excessive hormone secretions. The majority of adrenal masses in children are malignant, and 80% are neuroblastic tumors. The combination of history, physical examination, laboratory tests, and imaging studies can help in distinguishing this type of masses. Surgical solutions can play a pivotal role; that is why any surgeon should be familiar about anatomic and physiologic specialties of adrenal glands and its huge diversity of pathologic reflections. Laparoscopic approach, as a first choice, is being used for solving some childhood adrenal problems, except malign aggressive tumors.
