• Unilateral, neoplastic, malignant growth

  • Large (>100g)
  • Heterogenous
  • Tumor necrosis
  • Large vein invasion & microvascular invasion

  

• Suspected in Mass + Sex hormone overproduction ↑ ****production

  • Woman: rapid, severe virilization
  • Man: estrogenization

• Risk factor:

  • Smoking (RF)

• Can be functional or non-functional

  • Cushing’s syndrome ↑ (most common)
  • Hyperaldosteronism ↑ (extremely rare)
  • sex hormone overproduction → malignancy

• Prognosis

Surgical: unilateral lesion