title: [Adrenal cortical carcinoma].
abstract: OBJECTIVE
  To study the diagnosis and treatment of adrenal cortical carcinoma.
  
  
  METHODS
  Fifteen cases of adrenal cortical carcinoma (8 functional and 7 nonfunctional) were treated surgically during the period of 1978 - 1998. They were confirmed operatively and pathologically.
  
  
  RESULTS
  The functional carcinoma usually showed typical clinical features such as Cushing's syndrome, primary aldosteronism, and adrenogenital syndrome. The nonfunctional had extra-adrenal symptoms such as acute abdominal pain and hypertension. A definite diagnosis can be made by the measurements of urine 17-ketosteroid, 17-hydrosteroid, cortisol, aldosterone, CT, and B-ultrasonography.
  
  
  CONCLUSIONS
  Surgical removal of the tumor is the only effective treatment. Early diagnosis of adrenal cortical carcinoma is very difficult, especially in the non-functional.
authors.affiliation: Department of Urology, General Hospital, Tianjin Medical University, Tianjin 300052.
authors.forename: C
authors.initials: C
authors.lastname: Yang
authors.forename: W
authors.initials: W
authors.lastname: Qiang
authors.forename: S
authors.initials: S
authors.lastname: Han
authors.forename: J
authors.initials: J
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis / Q000601:surgery; D018268:Adrenocortical Carcinoma / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies