Adrenocortical tumours

Adrenal tumours are increasingly being encountered in routine surgical pathology practise due to the increased detection of incidental lesions during imaging for other causes. Tumours of cortical origin are largely benign and are classified into cortical nodules, adenomas, carcinoma and a few other specialized tumours. Adrenocortical carcinoma is rare. Immunohistochemistry of cortical lesions is also discussed. Distinction between benign and malignant tumours is of utmost importance and the article discusses the various systems currently used for prognostication / stratification of cortical tumours, oncocytoma and paediatric tumours. The UICC and new ENSAT staging systems are also compared.