Adrenocortical carcinoma is a rare malignancy in childhood and often p
resents with a large abdominal mass and precocious puberty. The tumor
is often advanced at the time of diagnosis. Radiological techniques ar
e the main imaging modalities for assessment of the primary tumor. Ga-
67 scintigraphy has been used in other pediatric solid tumors, however
, no data were available for this tumor in childhood. A case of a 2.5-
year-old male with a Ga-67 avid adrenocortical carcinoma is reported i
n which Ga-67 scintigraphy was very useful in detecting recurrence of
the tumor and in assessing response to therapy.