RESUMEN
Adreno - cortical tumours are rare They are classified into functioning and nonfunctioning categories according to their ability to produce excess hormones This study includes 10 cases with adreno - cortical carcinoma The details of their management were discussed The abdominal transperitoneal approach was used in 9 patients The size of the resected tumours ranged between 5 cm to 35 cm diameter and 65 gm to 56 kg weight One patient had liver metastases The ipsilateral kidneys were not involved and were not removed during adrenalectomy Three patients died because of their disease during the first year of follow up The other 7 patients were alive and well with no evidence of recurrence for a period of 9 months to 20 years, although 3 of them have failed to show for follow up after 9, 12 and 18 months There were 3 long term survivors who were followed up for 7 to 20 years The prognostic factors were discussed