A Rare Presentaion of Adrenocortical Carcinoma

Abstract

Adrenocortical Carcinoma (ACC) is a rare tumour, with an annual incidence of approximately one per million. Almost all cases occur in patients aged 40 to 50 years, but there is a minor peak in occurrence among children younger than 5 years. It demonstrates no significant gender predilection. At the time of presentation, ACC tend to be very large and have usually spread beyond the confines of the adrenal gland. The presentation of this tumour may vary, either it can present as virilisation or Cushing’s syndrome or both. The authors present their experience of a rare presentation of an asymptomatic ACC with a large size of tumour mass with no metastasis with just complain of burning micturition in a 55-year-old male patient which was difficult to diagnose clinically. The patient is doing well after surgical management.