A case report on adrenocortical carcinoma


  • Gowri M. Department of General surgery, Government medical college, Kollam, Kerala, India
  • Nair Prashant Girijavallabhan Department of General surgery, Government medical college, Kollam, Kerala, India
  • Arya J. Department of General surgery, Government medical college, Kollam, Kerala, India




Adrenocortical carcinoma, Adrenal malignancy, Abdominal pain


Adrenocortical carcinoma is a rare entity and usually diagnosed at later stages which poses a treatment dilemma and usually results in a bad prognosis. It is the second most aggressive endocrine malignancy after anaplastic thyroid carcinoma. Here we report a case in a young male diagnosed incidentally on an ultrasound scan done for abdominal pain. On examination his abdomen was soft with no obvious mass palpable. We are reporting a brief summary of the diagnosis, work up and management of this rare entity in the hope that it may shed some more light on the appropriate management of this elusive condition.


Aparna C, Renuka IV, Saila Bala G, Annapurna P. Adrenocortical carcinoma: Report of two cases. Indian J Endocrinol Metab. 2011;15(3):217-9.

Chatzoulis G, Passos I, Bakaloudi D-R, Giannakidis D, Koumpoulas A, Ioannidis K, et al. Giant nonfunctioning adrenal tumors: two case reports and review of the literature. J Med Case Reports. 2018;12(1):335.

Crucitti F, Bellantone R, Ferrante A, Boscherini M, Crucitti P. The Italian Registry for Adrenal Cortical Carcinoma: analysis of a multiinstitutional series of 129 patients. The ACC Italian Registry Study Group. Surgery. 1996;119(2):161-70.

Kovecsi A, Jung I, Bara T, Bara T jr, Azamfirei L, Kovacs Z, et al. First Case Report of a Sporadic Adrenocortical Carcinoma With Gastric Metastasis and a Synchronous Gastrointestinal Stromal Tumor of the Stomach. Medicine (Baltimore). 2015;94(37):e1549.

Sultan A, Shahad A, Hala M, Hisham M, Murad A. Adrenocortical Carcinoma in a Young Patient: Report of a Rare Case and Review of the Literature at King Abdulaziz University Hospital. Int Arch Urol Complicat [Internet]. 2018;4(2).

Bhatkule. Clinical Cancer Investigation Journal. https://www.ccij-online.org/article.asp?issn=2278-0513;year=2015;volume=4;issue=4;spage=572;epage=574;aulast=Bhatkule. Accessed on 10th June, 2021.

Kuthiah N, Er C. A case of metastatic adrenocortical carcinoma. Oxf Med Case Rep. 2019;2019(2).






Case Reports