CT of adult adrenal cortical carcinoma: six years experience.

During 1980 and through 1985, a total of three adult patients with adrenal cortical carcinoma were patients at the University of Mississippi Medical Center. All three of these patients with large tumors were evaluated with CT abdominal scans. The CT findings are described in each case. One patient had the unique findings of four separate tumors at the left upper quadrant, i.e. an adrenal cortical carcinoma, an ipsilateral renal cell carcinoma, an adjacent para-aortic neurofibroma, and a gastric leiomyoma. The only known cure for adrenal cortical carcinoma is complete excision. CT scanning should be utilized in all cases for diagnosis, for characterizing the tumor, for showing the presence of metastatic disease, for determining the overall extent of disease, and for determining the relationship to other organs. CT should be utilized in the follow-up with these patients after treatment, i.e. surgery and/or chemotherapy.