Oncocytic Adrenocortical Carcinoma: A Rare Case Report
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Abstract
Oncocytic neoplasms of the adrenal cortex are uncommon and generally benign and non-functioning. About 20% of adrenocortical oncocytic neoplasms show malignant components. A 39-year-old woman with an adrenocortical oncocytic carcinoma is reported in this article. The patient presented with mild right-sided pain. Computed tomography (CT) showed a 3 cm x 2 cm tumor in the right adrenal gland. The mass was atypical for adrenal adenoma and follow-up was recommended. Follow-up CT after 1 year showed tumor growth (5 cm) and the patient underwent laparoscopic surgery for pathologic verification. She was diagnosed as oncocytic adrenocortical carcinoma based on the pathologic diagnostic criteria. Due to their rarity, especially in cases of malignancy, there are no clear treatment and follow-up protocols. Curative surgical treatment should aim for complete excision of the tumor. As the literature about these tumors develops, more information about the nature of the disease will come to light.