Basics: Diagnostic Procedures in Suspected Adrenocortical Carcinoma

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Patients with suspected adrenocortical carcinoma (ACC) may also undergo additional tests to identify excess sex steroids and steroid precursors, mineralocorticoids and glucocorticoids.

Table 2 provides a summary of the tests recommended by the European Society of Endocrinology in collaboration with the European Network for the Study of Adrenal Tumors in patients with suspected ACC.¹⁰

 

Table 2. Diagnostic work-up in patients with suspected or proven adrenocortical carcinoma. Reproduced from Fassnacht et al., 2018,¹⁰ with permission under a Creative Commons Attribution 4.0 International License.

ACTH: adrenocorticotropic hormone; DHEA-S: dehydroepiandrosterone sulphate; CT: computed tomography; FDG-PET: ¹⁸F-fluorodeoxyglucose positron emission tomography; MRI: magnetic resonance imaging.

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