A 42-year-old man with huge abdominal mass

Area of Science:

• Oncology
• Endocrinology
• Abdominal Imaging

Background:

• Abdominal lumps are common, but diagnosis can be challenging.
• Distinguishing between primary liver cancer and adrenal tumors is crucial for effective treatment.

Observation:

• A 42-year-old male presented with a large abdominal mass.
• Initial diagnosis suggested hepatocellular carcinoma (HCC).
• Further investigation revealed the mass to be an adrenocortical carcinoma (ACC).

Findings:

• The case underscores the potential for misdiagnosis between HCC and ACC.
• Adrenocortical carcinoma can present as a large abdominal mass, mimicking primary liver malignancy.

Implications:

• Accurate diagnostic strategies are essential for managing abdominal masses.
• This case emphasizes the need for comprehensive evaluation to differentiate rare adrenal tumors from more common liver cancers.