Endocrine oncology

New Findings on Presentation and Outcome of Patients With Adrenocortical Cancer: Results From a National Cohort Study

J Clin Endocrinol MetabPublished Retrospective cohort study

An erratum to this article was published (J Clin Endocrinol Metab, 19 Apr 2024 ↗)

Authors' conclusion

Our study shows that ACC is a sex-related disease and demonstrates that an incidental presentation is associated with a better outcome. Given the correlation between RFS and OS, RFS may be used as a surrogate endpoint in clinical studies.

Study context

Population
Patients with adrenocortical cancer (ACC) diagnosed in 12 referral centers in Italy, January 1990 to June 2018
Participants
512 patients
Outcome
Presentation, treatment and prognostic factors
Methodological detailsnationwide, multicentre (12 referral centers)
  • Nationwide
  • Multicentre (12 referral centers)

Main finding

As reported in the abstract

ACC diagnosed as incidentalomas
38.1%
Women
60.2%
Open surgical approach
72%
Adjuvant mitotane after resection
62.7%
Recurrence after tumor resection
56.2%
Death
38.1%

Observational data: associations, not effects.

Original publication

New Findings on Presentation and Outcome of Patients With Adrenocortical Cancer: Results From a National Cohort Study. J Clin Endocrinol Metab. Published 6 April 2023. doi:10.1210/clinem/dgad199

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