Challenges in diagnosis and management of a giant non-functioning adrenocortical carcinoma: A case report

Adrenocortical carcinoma (ACC) despite being a rare endocrine malignancy arising from adrenal cortex carries poor prognosis. It is also challenging to diagnose these tumours preoperatively especially if it non-functioning tumour. As the rarity of disease pose great challenge in taking up statistically significant studies that would be needed improve management strategies and outcomes ACC, all recommendations are based on retrospective case series or expert opinions. Hence Multidisciplinary approach warranted ACC. Despite enormous progress achieved biological knowledge this tumor, ACC remains an oncological burdened by high mortality. Surgery still first therapeutic option only potentially curative treatment.