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Adrenal incidentalomas (AI) are incidentally discovered adrenal masses on imaging studies requested for reasons unrelated to adrenal pathology with a prevalence of 8% in autopsy and 4% in radiologic series. Although most AI are non-functioning benign adenomas, their increasing prevalence presents diagnostic and therapeutic challenges. We report a case of Adrenocortical Carcinoma (ACC) in an asymptomatic 83yr old man, 8 years after being diagnosed with AI. ACC is an uncommon malignancy carrying a high mortality.

Unexpected adrenocortical carcinoma 8 years after diagnosis of adrenal incidentaloma