Adrenocortical carcinoma refers to malignant tumors occurring in the adrenal cortex, which are mostly seen in children and adults aged 40-60 years old, and its malignant degree is high and its prognosis is often poor. Adrenocortical carcinoma is a malignant tumor of adrenal cortical cells, with an incidence rate of about 2 per million, accounting for 5% to 10% of adrenal tumors. The incidence rate is about 2 per million, accounting for 5%~10% of adrenal tumors. The incidence of adrenocortical carcinoma shows a bimodal curve with the increase of age, with the first peak occurring before the age of 5 years, and the second peak at the age of 40-50 years. The prognosis of adrenocortical adenocarcinoma is not good, and there is still the possibility of recurrence and metastasis after early surgery, so close review is needed. If patients feel uncomfortable, they should consult the doctor in time for examination and early treatment.