ical ▁car cin omas . ▁Finally , ▁c - my c ▁gene ▁expression ▁is ▁relatively ▁high ▁in ▁ne op las ms , ▁and ▁it ▁is ▁often ▁linked ▁to ▁poor ▁pro gn osis . ▁ ▁Bil ater al ▁ad ren oc ort ical ▁tum ors ▁are ▁less ▁common ▁than ▁un il ater al . ▁The ▁majority ▁of ▁bil ater al ▁tum ours ▁can ▁be ▁distinguished ▁according ▁to ▁size ▁and ▁aspect ▁of ▁the ▁nod ules : ▁primary ▁p ig ment ed ▁nod ular ▁ad ren oc ort ical ▁disease , ▁which ▁can ▁be ▁sp or adic ▁or ▁part ▁of ▁Car ney ▁complex , ▁and ▁primary ▁bil ater al ▁macro ▁nod ular ▁ad ren al ▁hyper pl asia . ▁ ▁Met ast asis ▁is ▁most ▁commonly ▁to ▁the ▁li ver ▁and ▁lung . ▁ ▁Di agn osis ▁ ▁Labor atory ▁find ings ▁H orm onal ▁synd rom es ▁should ▁be ▁confirmed ▁with ▁labor atory ▁testing . ▁Labor atory ▁find ings ▁in ▁C ushing ▁synd rome ▁include ▁increased ▁ser um ▁gl uc ose ▁( blo od ▁sugar ) ▁and ▁increased ▁ur ine ▁cort is ol . ▁Ad ren al ▁vir il ism ▁is ▁confirmed ▁by ▁the ▁finding ▁of ▁an ▁excess ▁of ▁ser um ▁and ro sten ed ione ▁and ▁de h ydro ep i andro ster one . ▁Find ings ▁in ▁Con n ▁synd rome ▁include ▁low ▁ser um ▁pot ass ium , ▁low ▁pl asma ▁ren in ▁activity , ▁and ▁high ▁ser um ▁al d oster one . ▁Fem in ization ▁is ▁confirmed ▁with ▁the ▁finding