The computed tomographic (CT) findings in eight patients with proven primary adrenal cortical carcinoma are presented. The tumors ranged in size from 9 to 22 cm in diameter and all exhibited central necrosis. Contrast enhancement was irregular in all cases and associated tumor calcification was present in three cases. The CT appearance of a huge adrenal mass with central necrosis is typical of adrenal cortical carcinoma hut can occasionally he seen with pheochromocytoma or a large metastasis to the adrenal gland.
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Dunnick et al. (1982) studied this question.
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