# Adrenocortical Sarcomatoid Carcinoma Revealed by an Adrenal Incidentaloma: A Case Report

## TL;DR

A rare and aggressive adrenal cancer was discovered in a patient through a CT scan for abdominal pain.

## Contribution

This case report adds to the limited understanding of adrenocortical sarcomatoid carcinoma through a detailed clinical and histological analysis.

## Key findings

- The tumor was identified as a unilateral left adrenal incidentaloma on a CT scan.
- The case highlights the dual histological features of epithelial and sarcomatoid components.
- The patient's case provides insights into the clinical and radiological profile of this rare cancer.

## Abstract

Sarcomatoid carcinoma of the adrenal gland represents an exceedingly unusual and highly aggressive form of adrenocortical carcinoma. Its diagnosis is challenging because of its dual histological components: epithelial and sarcomatoid. Most patients are diagnosed at a late stage and die within months of diagnosis. We report on a 51-year-old man who had adrenocortical sarcomatoid cancer. It was diagnosed as a unilateral left adrenal incidentaloma discovered on a CT scan carried out for abdominal pain. By means of this case, we will present the clinical, radiological, and histological profile of this tumor.