Adrenocortical carcinoma (ACC) is a rare neoplasm, usually considered to be one of the most morbid and lethal human tumor due to delayed diagnosis and presence of significant micrometastasis. Incidentalomas detected by diagnostic imaging techniques imposes a great challenge to modern medicine nowadays with regards to proper approach to management.
We report a case of a right adrenal mass detected incidentally in an asymptomatic 50 years old Filipino male by ultrasound of abdomen. A CT scan guided fine needle aspiration biopsy was done and adrenal neoplasm was entertained. Vimentin immunoreactivity was noted. Hormonal evaluation was unremarkable. Right adrenalectomy was done and the histopathologic findings revealed features of ACC. Patient expired after a years with recurrence and metastasis despite of chemotherapy and radiotherapy.