本文報告一例病患爲年輕女性，臨床徵狀表現爲庫欣氏徵候群，經詳細檢查後發現爲功能性腎上 腺腫瘤，且經腹部電腦斷層進一步確認。爲了腫瘤轉移之評估，進行了鐯-99m全身骨骼掃描，發現一 腫塊位於腎臟上方，並無骨骼惡性轉移病灶。腎上腺腫瘤切除證實爲腎上腺皮質癌；然而術後，仍然 發生肝臟、肺臟以及腹膜腔轉移。

We present the case of a young woman who had clinical features of Cushing’s syndrome, which on investigations was assumed to be caused by a functioning adrenocortical tumor. The mass was confirmed in addition to an abdominal CT scan. As an accessory procedure in the metastatic workup, Tc-99m MDP bone scan showed a suprarenal mass and a negative skeletal survey. Surgical pathology confirmed as an adrenocortical carcinoma. Nevertheless, aggressive intrahepatic involvement, lung metastasis and peritoneal seeding developed shortly after the adrenalectomy and the patients died within a few months.