Adrenal cortical tumours are uncommon in children. For many years it w
as thought that the majority were malignant with a poor prognosis. Pat
hological criteria for malignancy are unreliable for these tumours in
childhood. The radiological findings in seven children are presented.
Large tumour size (>6 cm diameter) and radiological appearances such a
s a complex echo pattern were considered to provide useful indicators
of malignancy.