Primary adrenal malignant tumor requires timely radical surgery to remove the tumor and postoperative radiotherapy if necessary. Patients with primary adrenal malignant tumor detected at early stage need to undergo surgery as early as possible to remove the tumor, remove all the malignant tumor tissues and adrenal glands, and if the kidney is also invaded, the kidney on the same side needs to be removed as well, and cooperate with the treatment of radiotherapy if necessary, so as to avoid the recurrence of the tumor. After the operation, regular observation and follow-up will be carried out, including adrenal region thin layer CT scan and renal function test. It is recommended that patients should go to the hospital in time to receive standardized treatment so as to avoid delaying the condition.