<prompt> Answer this question truthfullyWhat are the epidemiological and demographic characteristics of Adrenocortical carcinoma?  <response>: <reason> The incidence of adrenocortical carcinoma is 7.2 cases per 100,000 individuals per year leading to 0.2 of all cancer deaths in the United States and 3 cases per 100,000 children per year worldwide but valid data is lacking. A bimodal distribution was observed, the first one in pediatrics and the second one in the fifth to the sixth decade. There is a predilection for the female gender. Girls are also more commonly affected than boys with a ratio of 1.6:1. 