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Images in paediatrics
A rare ovarian tumour in a 5-month-old infant
  1. H Lamabadusuriya1,
  2. H Wolfenden1,
  3. T Makaya1,
  4. K Wheeler2,
  5. F Ryan1
  1. 1Department of Paediatric Endocrinology, Oxford Children's Hospital, Oxford, UK
  2. 2Department of Paediatric Oncology, Oxford Children's Hospital, Oxford, UK
  1. Correspondence to Dr Fiona Ryan, Department of Paediatric Endocrinology, Oxford Children's Hospital, Oxford OX3 9DU, UK; fiona.ryan{at}

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A 5-month-old infant presented with a week's history of progressive abdominal distension. Three weeks previously she had developed pubic hair and breast development. On examination, she had gross abdominal distension with Tanner stage 3 breasts and pubic hair, with mild cliteromegaly (figure 1).

Figure 1

Abdominal distension bilateral breast buds Tanner stage 3, pubic hair and darkened rugosed labial folds.

A massively enlarged right ovary (10 cm×6.7 cm×7.7 cm) was identified …

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