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A 40-year-old male presented with clinical and biochemical feature of Cushing syndrome. He had a large adrenal tumor co-secreting glucocorticoid and adrenal androgen, later diagnosed as having an adrenocortical carcinoma (ACC). The case scenario highlights the clinical, biochemical clues and the imaging phenotype of ACC and the differentials of a large adrenal incidentaloma. There is a brief discussion on clinical presentation, investigations, and management of such a tumor which often has a grave prognosis.

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A 40-Year-Old Presented with Abdominal Fullness, Generalized Red Spots with Recent-Onset Diabetes and HTN

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  • 发表日期：

    2025年

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  • Sharmin Jahan

摘要

A 40-year-old male presented with clinical and biochemical feature of Cushing syndrome. He had a large adrenal tumor co-secreting glucocorticoid and adrenal androgen, later diagnosed as having an adrenocortical carcinoma (ACC). The case scenario highlights the clinical, biochemical clues and the imaging phenotype of ACC and the differentials of a large adrenal incidentaloma. There is a brief discussion on clinical presentation, investigations, and management of such a tumor which often has a grave prognosis.