Pediatric pathological features of adrenal glands are similar to those of adult including inflammation; hyperplasia; benign and malignant tumors, the latter had a very high incidence 78, 85% in which neuroblastoma was predominant 69, 23%: female / male ratio=2/1; 75% under 5 y. o; 75% poorly differentiated; 85% with low MKI (<100).