Non-Functioning Adrenocortical Carcinoma (incidentaloma) - A Case Report and Review of Literature

Adrenocortical carcinoma is a rare endocrine tumour with poor prognosis. Herein we report a case of adrenocortical carcinoma which was non-functioning, and non-metastasizing. A female patient presented with vague abdominal pain and palpable lump on examination. A large sized adrenal mass on Ultrasonography (USG) and computed tomography was revealed. USG guided fine needle aspiration cytology was performed, the smears were highly suspicious of malignancy. Tumour was surgically excised and histopathology confirmed the final diagnosis of stage II adrenocortical carcinoma. No metastasis was seen. Rarity of non-functioning adrenocortical carcinoma prompted us to report this case.