Abstract
We report our experience with a case of primary nonfunctional adrenocortical carcinoma. A 69-year-old woman was found to have a mass about 2 cm in the left adrenal gland contingent from a computed tomography (CT). Then, the patient was referred to our hospital where the tumor showed an increase of about 5 cm over an observation of about 6 months. In magnetic resonance imaging (MRI), the T1-weighted image showed low signal intensity, while the T2-weightented image showed a heterogeneous high signal intensity inside the tumor. The tumor grew quickly in a short period of time, so we performed a laparoscopic adrenalectomy. The resected specimen showed a tumor 5.4 × 3.8 cm in size with a capsule and a necrotic inner part. The tumor was a nonfunctional adrenal tumor and the final diagnosis was adrenocortical carcinoma, pT2N0M0 stage II.
