Large Adenocarcinoma of the Right Adrenal Cortex: a Case Report

Adrenocortical carcinoma is a rare tumor with an estimated incidence between 0.5 and 2 per one million people yearly. Tumors are classified as functioning when they are associated with endocrine manifestations or elevated hormone levels. Non-functioning tumors are defined as tumors that do not secrete hormones above normal levels. Adrenocortical carcinoma is a rare entity and usually has poor prognosis. However, the natural history and response to therapy of patients with this malignancy have often been conflicting. Complete tumor resection may be associated with improved survival. Meanwhile, the presence of intravascular tumor extension alone, should not be a contraindication to radical surgical therapy, as it is the best hope for prolonged survival.