Adrenal carcinoma represents an uncommon malignancy which has an incidence rate of 0.7–2.0 cases/million habitants per year. It has a poor prognosis rate and affects about 50-60% of the women population.
The incidence of Adrenal carcinoma has a bimodal distribution which has its first peak in children less than five years and the second peak is around the fifth decade. Adrenal carcinomas can be either active or nonfunctional tumor which often gets diagnosed incidentally, because of loco-regional compression phenomenon or based on the distant metastases.