Published online Aug 6, 2019. doi: 10.12998/wjcc.v7.i15.2075
Peer-review started: April 15, 2019
First decision: May 31, 2019
Revised: June 28, 2019
Accepted: July 3, 2019
Article in press: July 3,2019
Published online: August 6, 2019
Adrenocortical cancer (ACC) is an infrequent and often aggressive malignancy with a very poor prognosis. It can be classified as functional or nonfunctional. Nonfunctional ACC is hampered by the absence of specific signs or symptoms; only abdominal pain with or without incidental adrenal occupation is typically present.
We report a rare case of a patient with a 30 cm × 15 cm × 8 cm ectopic ACC on the anterior abdominal wall without organ adhesion. A 77-year-old male was admitted to our hospital because of a huge abdominal mass, which, by ultrasonography, had an unclear border with the liver. Computed tomography showed that the mass was not associated with any organ but was adherent to the anterior abdominal wall. The patient underwent tumor resection, and a postoperative pathology examination showed a neuroendocrine tumor, which was diagnosed as ACC. The patient was disease-free at the 9-mo follow up.
The anterior abdominal wall is a rare site of ACC growth.
Core tip: Aberrant adrenal tissue can be found anywhere, but typically in the testes, ovaries, spermatic cord, and kidneys. The most common site is retroperitoneal fat near the adrenal gland; the bilateral lungs, liver, spleen, pancreas, colon, duodenum, and ovary are less common. This is, to our knowledge, the first report of adrenocortical cancer on the anterior abdominal wall in the English-language literature.