title: Resection of giant adrenal cortical carcinoma: a case report.
abstract: OBJECTIVE
  We report a case of nonfunctioning giant adrenal cortical carcinoma undergoing complete resection.
  
  
  METHODS
  We report the case and evolution of a woman who underwent resection of a giant adrenal carcinoma at Santa Marcelina Hospital.
  
  
  RESULTS
  A 49-year-old female presented with palpable mass in the right hypochondrium extending 5 cm down from the right costal margin. Abdominal CT Scan found a large mass occupying the right adrenal region with areas suggestive of necrosis, in close contact with the liver, pushing the right kidney inferiorly and extending to the midline. Biochemical tests to evaluate hormonal secretion resulted in levels within the normal range characteristic of a non-functioning adrenal neoplasm. The treatment of choice was resection of the abdominal mass; the surgical specimen greatest diameter was 21 cm and weighed 2106 grams. It was an adrenal cortical carcinoma.
  
  
  CONCLUSIONS
  Options for the treatment of adrenal cortical carcinoma showed no significant advances in recent decades and complete surgical resection remains the most effective treatment for adrenal cortical carcinoma, even in patients with bulky tumor masses.
authors.affiliation: Servicio de Urología. Hospital Santa Marcelina. São Paulo. Brasil.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Stievano Carlos
authors.forename: Benjamim
authors.initials: B
authors.lastname: Soares de Carvalho Neto
authors.forename: Fábio Luiz
authors.initials: FL
authors.lastname: de Souza
authors.forename: Azuil
authors.initials: A
authors.lastname: de Castro Laranjo Júnior
authors.forename: Minori
authors.initials: M
authors.lastname: Saito
authors.forename: Luiz Jorge
authors.initials: LJ
authors.lastname: Budib
authors.forename: Auro Antônio
authors.initials: AA
authors.lastname: Simões de Souza
authors.forename: Thiago
authors.initials: T
authors.lastname: Haguihara
authors.forename: Wildson
authors.initials: W
authors.lastname: Moura Gonçalves
authors.forename: Heleno
authors.initials: H
authors.lastname: Diegues Paes
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000473:pathology / Q000601:surgery*; D000315:Adrenalectomy; D018268:Adrenocortical Carcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome