- Adrenal cancer refers to malignant tumors arising in the adrenal glands and may include adrenocortical carcinoma, neuroblastoma, etc.
- In most cases, a single cause is not identified, but some may be associated with hereditary tumor syndromes or genetic changes in cells.
- The adrenal glands produce important hormones such as cortisol and sex hormones; tumors can secrete excessive amounts of hormones or grow into surrounding tissues.
- Clinical manifestations vary depending on the type of tumor and whether it secretes hormones; abdominal discomfort, masses, or symptoms of hormone excess may appear, or there may be no symptoms.
- Risk and prognosis may vary depending on age, tumor type and extent, hormone secretion, genetic background, and overall health status.
- Benign adrenal tumors are often asymptomatic, but malignant tumors can cause pain, compressive symptoms, or organ dysfunction as they grow or metastasize.
- Diagnosis is made by comprehensively integrating hormone tests, imaging studies, and, when necessary, tissue biopsies and pathological evaluations based on medical history and physical examination.
- The presence of an adrenal mass on imaging does not immediately imply cancer; it must be interpreted by distinguishing between benign tumors and hormone-secreting tumors.
- Management is planned by jointly considering the malignancy of the tumor, stage, hormonal function, resectability, and the patient's condition.
- Treatment options may include surgery, anticancer chemotherapy, and radiation therapy, with the actual choice depending on the tumor characteristics and stage.