title: Adrenocortical carcinoma: what the surgeon needs to know. Case report and literature review.
abstract: Adrenocortical carcinoma is a rare and aggressive cancer and its prognosis is frequently unsatisfactory. Due to its rarity there's a lack of prospective randomized studies. Without experience in the approach of this kind of tumor, managing becomes challenging and, moreover, we have only few recommendations, based on weak evidence. We report a case that has some peculiarities and is an excellent food for thought. Then we deal with a literature review to highlight and summarize most significant aspects of epidemiology, clinic, diagnosis, therapy and prognosis in an exquisitely surgical point of view.
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Benassai
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy. Electronic address: vincenzodesiato@gmail.com.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Desiato
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Benassai
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Bianco
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Sivero
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Compagna
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Vigliotti
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Limite
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.affiliation: Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Quarto
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D018268:Adrenocortical Carcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D011446:Prospective Studies
keywords: Adrenal cancer; Adrenocortical carcinoma; Diagnosis; Prognosis; Staging; Therapy