A rare case of bilateral adrenocortical carcinoma with metastasis in a young male

Abstract

Although adrenal tumours are very common, majority of them are benign lesions. Adrenocortical carcinoma is a rare endocrine malignancy and carries a poor prognosis. They are often unilateral and detected in older age groups. This report describes a case of bilateral adrenal cortical carcinoma in a 30 -year-old male who presented with cervical lymphadenopathy that demonstrated malignant cells on Fine needle aspiration (FNA) cytology. Ultrasound and CECT examinations of the abdomen detected bilateral adrenal tumours. Imaging characteristics were correlated with CT guided FNA of the lesion and diagnosed as adrenocortical carcinoma. This case highlights the importance of considering malignant adrenal aetiology in bilateral adrenal masses as such cases are rare in literature.