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Updated: Jun 19, 2026

Primary Culture of Rat Adrenocortical Cells and Assays of Steroidogenic Functions
Published on: March 12, 2019
[Recent data in adrenocortical tumorigenesis]
A Crand1, F Borson-Chazot, T Brue
1Fédération d'endocrinologie du pôle Est, Hospices Civils de Lyon, 59, Boulevard Pinel, 69677 Bron. alexandra.crand@chu-lyon.fr
Abstract:
Adrenocortical carcinomas are rare tumors characterized by an aggressive behaviour with a 5-year survival rate below 30%. Until now, surgery is the only curative treatment for tumors confined to the adrenal gland and there is a lack of an effective medical treatment for invasive or metastatic tumors due to the poor knowledge of the mechanisms underlying adrenocortical malignancy. Moreover, histopathology is sometimes insufficient to establish an accurate diagnosis between a benign and a malignant adrenal tumor and a poor indicator of prognosis. In the last decade, the study of rare genetic syndromes associated with adrenocortical carcinomas and the identification of genetic alterations in adrenal tumors has improved our understanding of the pathogenesis of adrenal tumors. The development of molecular predictors of malignancy and of survival could help for histological diagnosis and determination of prognosis. These significant advances are essential to improve adrenocortical carcinoma management. This review summarizes recent advances in the understanding and management of adrenocortical tumors.
Insights
Adrenocortical carcinomas are aggressive rare tumors. Advances in understanding genetic alterations and molecular predictors are crucial for improved diagnosis and prognosis of these adrenal tumors.
Area of Science:
- Endocrinology and Oncology
- Genetics and Molecular Biology
Context:
- Adrenocortical carcinomas (ACCs) are rare, aggressive endocrine tumors with poor prognosis.
- Current treatments are limited, especially for invasive or metastatic disease, due to incomplete understanding of pathogenesis.
- Histopathology alone is often insufficient for accurate diagnosis and prognosis.
Purpose:
- To review recent advances in understanding the pathogenesis of adrenocortical tumors.
- To highlight the development of molecular predictors for malignancy and survival in ACCs.
- To discuss improvements in the management of adrenocortical tumors.
Summary:
- Recent research has focused on genetic syndromes and alterations driving ACC development.
- Molecular predictors show promise for improving diagnostic accuracy and prognostic assessment.
- Understanding these molecular mechanisms is key to developing effective medical treatments.
Impact:
- Improved diagnostic capabilities for distinguishing benign from malignant adrenal tumors.
- Enhanced prognostic accuracy, guiding treatment decisions for adrenocortical carcinoma.
- Potential for developing novel targeted therapies for aggressive adrenocortical carcinomas.
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