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Adrenocortical carcinoma — SCE Endocrinology MCQ

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ModerateAdrenalAdrenocortical carcinomaSCE Endocrinology

A 70-year-old woman has a 5.5 cm heterogeneous adrenal mass with irregular borders and non-contrast attenuation 35 HU. She has weight loss and new virilisation. What is the most appropriate management?

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Correct answer: AUrgent adrenal multidisciplinary team referral for suspected adrenocortical carcinoma

Large, heterogeneous, lipid-poor adrenal masses with virilisation are suspicious for adrenocortical carcinoma. Ultrasound surveillance would risk delay. Hormonal assessment and specialist surgical planning should occur in an adrenal MDT setting.

Reference: European Society of Endocrinology Adrenal Incidentaloma Guideline