title: A pregnant patient with adrenocortical carcinoma: case report.
abstract: BACKGROUND
  Coexistence of an adrenocortical carcinoma and pregnancy is extremely rare with only 25 described cases so far, and has a poor prognosis.
  
  
  METHODS
  We report the case of a 28-year-old patient with adrenocortical carcinoma initially presenting with Cushing's syndrome and pre-eclampsia in the 22nd week of gestation, treated in our department. She underwent adrenalectomy, but eventually died from metastatic disease. We focus on existing treatment options and concerns for this rare malignancy during pregnancy.
  
  
  CONCLUSIONS
  Early diagnosis and surgery are the cornerstones for better outcome.
authors.affiliation: Department of Medical Oncology, School of Medicine, University of Ioannina, Greece. ilkotteas@hotmail.com
authors.forename: Elias
authors.initials: E
authors.lastname: Kotteas
authors.forename: Eli
authors.initials: E
authors.lastname: Ioachim
authors.forename: Nicholas
authors.initials: N
authors.lastname: Pavlidis
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery*; D016896:Treatment Outcome