The role of surgery in the management of recurrent adrenocortical carcinoma.

Context: Surgery is the standard of care for localized adrenocortical carcinomas, but its role for recurrent disease is not well defined.

Objective: Our objective was to evaluate clinical outcome after surgery for recurrence.

Design: We conducted a retrospective analysis in 154 patients with first recurrence after initial radical resection from the German Adrenocortical Carcinoma Registry.