Imaging Department, St. Bartholomew's Hospital, King George V Wing, Ground Fl, Room 3 West Smithfield, London EC1A 7BE, United Kingdom.
AJR Am J Roentgenol. 2011 Jun;196(6):W706-14. doi: 10.2214/AJR.10.5540.
Adrenocortical carcinoma (ACC) is a rare, aggressive tumor arising from the adrenal cortex that typically presents late with a large mass. The increased use of cross-sectional imaging for unrelated reasons has led to a greater number of ACCs being detected incidentally at an earlier stage. Recognition of the typical clinical, biochemical, and imaging findings is imperative for rapid diagnosis, prompt intervention, and early use of the appropriate therapy.
Cross-sectional imaging with CT and MRI is essential for determining the extent of local and distant tumor spread. Complete surgical resection is currently the only potentially curative treatment of ACC, and the information attained from CT and MRI is important to guide surgery and further patient management.
肾上腺皮质癌（ACC）是一种罕见的、侵袭性肿瘤，起源于肾上腺皮质，通常在晚期出现巨大肿块。由于出于其他原因越来越多地使用横截面成像，导致更多的 ACC 在更早阶段被偶然发现。识别典型的临床、生化和影像学发现对于快速诊断、及时干预和早期使用适当的治疗至关重要。
CT 和 MRI 等横截面成像对于确定局部和远处肿瘤扩散的范围至关重要。目前，完整的手术切除是治疗 ACC 的唯一潜在治愈方法，CT 和 MRI 获得的信息对于指导手术和进一步的患者管理非常重要。
