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The adrenocortical carcinoma is a rare aggressive endocrine malignancy that presents itself as an abdominal mass, symptomatic or incidental, often locally advanced or metastatic disease. Surgical resection when possible is the treatment of choice and marginfree resection is the most important prognostic factor for long survival. Case Report: In this paper, we describe the case of a woman of 58-year-old, bearer of an enormous androgensecreting cancer, which has gone unnoticed for years, presenting with abdominal hemorrhagic syndrome which required surgical resection in emergency. Conclusion: In view of prognostic factors, we decided to complete the radical treatment with local radiotherapy and adjuvant mitotane.

Unrecognized androgen secreting huge adrenocortical carcinoma in need of urgent surgery