Omar Alfehaid*, Alhasan Abduldaem, Luai H. Ashari, Sultan Alkhateeb, Hadeel Almanea and Abdullah H. Alghuraibi
Familial Adenomatous Polyposis (FAP) is an autosomal dominant inherited disease characterized by multiple colorectal polyps with a high potential to develop colorectal cancer. FAP has diverse extracolonic manifestations including adrenal masses. The prevalence of Adrenal Incidentalomas (AI) in FAP patients is 13%, 97% of which are benign. Adrenocortical carcinoma as an AI in FAP patients is very rare and limited to few case reports in the literature. We are reporting a rare case of a young male who was referred to urology for a large adrenal mass, and underwent adrenalectomy and the reported pathology was adrenocortical carcinoma.
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