<prompt> Hypeension with hypokalemia and a 7-cm suprarenal mass suggests the diagnosis ofCushings syndromeAdrenal carcinomaHpypernephromaPheochromocytoma  <response>: Adrenocoical carcinoma Adrenocoical carcinoma is a rare tumor More than half of Adrenocoical carcinoma are functional Cushings syndrome is most commonly seen followed by vitilization Clinical features Almost all cases occur in patients 40-50 years of age No gender predilection More than half of Adrenocoical carcinomas are functional Cushings syndrome is most commonly seen, followed by vitilization Very large at initial evaluationmean tumor size, 9-12cm Metastasis to the lymph nodes, liver and lungs may be found Ref : schwazs principle of surgery 10th edition Pgno : 1588 