{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T13:26:04Z","timestamp":1782307564734,"version":"3.54.5"},"reference-count":59,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000921","name":"European Cooperation in Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000921","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["314061271"],"award-info":[{"award-number":["314061271"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["TRR-CRC 205"],"award-info":[{"award-number":["TRR-CRC 205"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007952","name":"Eva Luise und Horst K\u00f6hler Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007952","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003042","name":"Else Kr\u00f6ner-Fresenius-Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003042","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","esmoopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["ESMO Open"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.esmoop.2026.106092","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T20:18:33Z","timestamp":1773173913000},"page":"106092","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Current clinical management and outcome of patients with adrenal cortical carcinoma (ACC) with rare histological subtypes\u2014an ENSAT cohort study"],"prefix":"10.1016","volume":"11","author":[{"given":"O.","family":"Kimpel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Cosentini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4798-883X","authenticated-orcid":false,"given":"A.","family":"Calabrese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Jouinot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Altieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kircher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Di Dalmazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.S.","family":"Elhassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3403-8977","authenticated-orcid":false,"given":"D.","family":"Vassiliadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7515-8589","authenticated-orcid":false,"given":"K.","family":"Chrysoula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Puglisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-2121","authenticated-orcid":false,"given":"K.","family":"Coscia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.V.","family":"Gallego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Loli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Boudina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3248-6655","authenticated-orcid":false,"given":"M.","family":"Lagana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Cremaschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Pignatelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3523-5032","authenticated-orcid":false,"given":"E.","family":"Rios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1821-7649","authenticated-orcid":false,"given":"C.A.","family":"Villavicencio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.J.","family":"McKenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Rayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.L.","family":"Ronchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Bancos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Terzolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Berruti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Assi\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kroiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6170-6398","authenticated-orcid":false,"given":"M.","family":"Fassnacht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib1","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.path.2019.08.010","article-title":"Treatment of adrenocortical carcinoma","volume":"12","author":"Vaidya","year":"2019","journal-title":"Surg Pathol Clin"},{"issue":"1","key":"10.1016\/j.esmoop.2026.106092_bib2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1530\/EJE-21-0510","article-title":"S-GRAS score for prognostic classification of adrenocortical carcinoma: an international, multicenter ENSAT study","volume":"186","author":"Elhassan","year":"2021","journal-title":"Eur J Endocrinol"},{"issue":"11","key":"10.1016\/j.esmoop.2026.106092_bib3","doi-asserted-by":"crossref","first-page":"1476","DOI":"10.1016\/j.annonc.2020.08.2099","article-title":"Adrenocortical carcinomas and malignant phaeochromocytomas: ESMO-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"31","author":"Fassnacht","year":"2020","journal-title":"Ann Oncol"},{"issue":"1","key":"10.1016\/j.esmoop.2026.106092_bib4","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s12022-022-09710-8","article-title":"Overview of the 2022 WHO classification of adrenal cortical tumors","volume":"33","author":"Mete","year":"2022","journal-title":"Endocr Pathol"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib5","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s12672-011-0088-0","article-title":"The Weiss score and beyond\u2014histopathology for adrenocortical carcinoma","volume":"2","author":"Papotti","year":"2011","journal-title":"Horm Cancer"},{"issue":"9","key":"10.1016\/j.esmoop.2026.106092_bib6","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1097\/PAS.0b013e31828d387b","article-title":"The reticulin algorithm for adrenocortical tumor diagnosis: a multicentric validation study on 245 unpublished cases","volume":"37","author":"Duregon","year":"2013","journal-title":"Am J Surg Pathol"},{"issue":"3","key":"10.1016\/j.esmoop.2026.106092_bib7","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/106689690401200304","article-title":"Adrenocortical oncocytic tumors: report of 10 cases and review of the literature","volume":"12","author":"Bisceglia","year":"2004","journal-title":"Int J Surg Pathol"},{"issue":"1","key":"10.1016\/j.esmoop.2026.106092_bib8","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s00428-011-1166-y","article-title":"Adrenocortical neoplasia: evolving concepts in tumorigenesis with an emphasis on adrenal cortical carcinoma variants","volume":"460","author":"de Krijger","year":"2012","journal-title":"Virchows Arch"},{"issue":"3","key":"10.1016\/j.esmoop.2026.106092_bib9","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/PAP.0000000000000019","article-title":"Adrenocortical carcinoma: review and update","volume":"21","author":"Erickson","year":"2014","journal-title":"Adv Anat Pathol"},{"issue":"11","key":"10.1016\/j.esmoop.2026.106092_bib10","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1038\/s41379-018-0077-8","article-title":"Clinicopathological description of 43 oncocytic adrenocortical tumors: importance of Ki-67 in histoprognostic evaluation","volume":"31","author":"Renaudin","year":"2018","journal-title":"Mod Pathol"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib11","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/j.eururo.2013.11.006","article-title":"Prognostic role of overt hypercortisolism in completely operated patients with adrenocortical cancer","volume":"65","author":"Berruti","year":"2014","journal-title":"Eur Urol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib12","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1002\/cncr.24030","article-title":"Limited prognostic value of the 2004 International Union Against Cancer staging classification for adrenocortical carcinoma: proposal for a revised TNM classification","volume":"115","author":"Fassnacht","year":"2009","journal-title":"Cancer"},{"issue":"8","key":"10.1016\/j.esmoop.2026.106092_bib13","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1007\/s10434-999-0719-7","article-title":"Long-term survival after complete resection and repeat resection in patients with adrenocortical carcinoma","volume":"6","author":"Schulick","year":"1999","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib14","first-page":"963","article-title":"An eleven-year experience with adrenocortical carcinoma","volume":"112","author":"Pommier","year":"1992","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib15","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1016\/j.surg.2018.04.044","article-title":"Adrenocortical oncocytic neoplasm: a systematic review","volume":"164","author":"Kanitra","year":"2018","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib16","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1530\/EJE-21-1228","article-title":"Transcriptome in paraffin samples for the diagnosis and prognosis of adrenocortical carcinoma","volume":"186","author":"Jouinot","year":"2022","journal-title":"Eur J Endocrinol"},{"key":"10.1016\/j.esmoop.2026.106092_bib17","article-title":"Whole genome profiling of primary and metastatic adrenocortical carcinoma unravels significant molecular events","volume":"266","author":"Kalomeris","year":"2024","journal-title":"Pathol Res Pract"},{"key":"10.1016\/j.esmoop.2026.106092_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejca.2024.114088","article-title":"Germline NGS targeted analysis in adult patients with sporadic adrenocortical carcinoma","volume":"205","author":"Scatolini","year":"2024","journal-title":"Eur J Cancer"},{"issue":"12","key":"10.1016\/j.esmoop.2026.106092_bib19","first-page":"635","article-title":"Myxoid adrenal cortical carcinoma: a light and electron microscopic study","volume":"103","author":"Tang","year":"1979","journal-title":"Arch Pathol Lab Med"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib20","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1309\/AJCPCDZLC13RSXRZ","article-title":"Myxoid adrenocortical carcinoma: a clinicopathologic and immunohistochemical study of 7 cases, including 1 case with lipomatous metaplasia","volume":"139","author":"Weissferdt","year":"2013","journal-title":"Am J Clin Pathol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib21","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1111\/j.1440-1827.2006.01929.x","article-title":"Myxoid variant of adrenocortical carcinoma: report of a unique case","volume":"56","author":"Karim","year":"2006","journal-title":"Pathol Int"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib22","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.anndiagpath.2008.04.002","article-title":"Myxoid adrenal cortical neoplasms","volume":"12","author":"Raparia","year":"2008","journal-title":"Ann Diagn Pathol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib23","doi-asserted-by":"crossref","first-page":"227","DOI":"10.5858\/2003-127-227-COMACW","article-title":"A case of myxoid adrenocortical carcinoma with extensive lipomatous metaplasia","volume":"127","author":"Izumi","year":"2003","journal-title":"Arch Pathol Lab Med"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib24","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1080\/00313029600169224","article-title":"Sarcomatoid carcinomas: pathological and histopathogenetic considerations","volume":"28","author":"Guarino","year":"1996","journal-title":"Pathology"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib25","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/BF00712761","article-title":"Sarcomatoid carcinoma of the breast: an immunohistochemical study of six cases","volume":"410","author":"Meis","year":"1987","journal-title":"Virchows Arch A Pathol Anat Histopathol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib26","first-page":"157","article-title":"Sarcomatoid carcinoma of the upper aerodigestive tract","volume":"4","author":"Weidner","year":"1987","journal-title":"Semin Diagn Pathol"},{"key":"10.1016\/j.esmoop.2026.106092_bib27","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.humpath.2016.08.006","article-title":"Sarcomatoid adrenocortical carcinoma: a comprehensive pathological, immunohistochemical, and targeted next-generation sequencing analysis","volume":"58","author":"Papathomas","year":"2016","journal-title":"Hum Pathol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib28","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/BF00784354","article-title":"Primary sarcomatoid carcinoma of the adrenal gland. First case report","volume":"415","author":"Collina","year":"1989","journal-title":"Virchows Arch A Pathol Anat Histopathol"},{"issue":"3","key":"10.1016\/j.esmoop.2026.106092_bib29","doi-asserted-by":"crossref","first-page":"383","DOI":"10.4183\/aeb.2022.383","article-title":"Oncocytic adrenocortical carcinoma in a young patient","volume":"18","author":"Singh","year":"2022","journal-title":"Acta Endocrinol (Buchar)"},{"issue":"3","key":"10.1016\/j.esmoop.2026.106092_bib30","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.anndiagpath.2009.06.006","article-title":"Oncocytic adrenocortical carcinoma","volume":"14","author":"Ohtake","year":"2010","journal-title":"Ann Diagn Pathol"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib31","doi-asserted-by":"crossref","first-page":"e277","DOI":"10.1016\/j.oooo.2022.01.022","article-title":"Metastatic oncocytic adrenocortical carcinoma of mandible: an extraordinarily rare occurrence","volume":"134","author":"Nayyar","year":"2022","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"issue":"11","key":"10.1016\/j.esmoop.2026.106092_bib32","doi-asserted-by":"crossref","DOI":"10.1210\/jendso\/bvab143","article-title":"Oncocytic adrenocortical carcinoma with low 18F-FDG uptake and the absence of glucose transporter 1 expression","volume":"5","author":"Babaya","year":"2021","journal-title":"J Endocr Soc"},{"key":"10.1016\/j.esmoop.2026.106092_bib33","article-title":"Case report: surgery to remove adrenocortical oncocytic carcinoma from an Asian male","volume":"10","author":"Liu","year":"2023","journal-title":"Front Surg"},{"key":"10.1016\/j.esmoop.2026.106092_bib34","first-page":"293","article-title":"Recurrent oncocytic adrenocortical carcinoma: implementing diagnostic criteria in a case report with the longest survival","volume":"92","author":"Guerci","year":"2021","journal-title":"Ann Ital Chir"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib35","doi-asserted-by":"crossref","first-page":"2475","DOI":"10.1016\/j.asjsur.2024.01.098","article-title":"Adrenocortical oncocytic carcinoma misdiagnosed as adrenal cortical adenoma","volume":"47","author":"Li","year":"2024","journal-title":"Asian J Surg"},{"key":"10.1016\/j.esmoop.2026.106092_bib36","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-208818","article-title":"Oncocytic adrenocortical carcinoma\u2014a rare pathological variant","volume":"2015","author":"Kalra","year":"2015","journal-title":"BMJ Case Rep"},{"issue":"8","key":"10.1016\/j.esmoop.2026.106092_bib37","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1507\/endocrj.EJ20-0024","article-title":"A rare case of oncocytic adrenocortical carcinoma clinically presented as an incidentaloma","volume":"67","author":"Harada","year":"2020","journal-title":"Endocr J"},{"issue":"8","key":"10.1016\/j.esmoop.2026.106092_bib38","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3109\/09513590.2016.1149811","article-title":"Virilizing oncocytic adrenocortical carcinoma: clinical and immunohistochemical studies","volume":"32","author":"Carr\u00e9","year":"2016","journal-title":"Gynecol Endocrinol"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib39","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.annpat.2020.12.010","article-title":"Myxoid variant of adrenocortical carcinoma","volume":"41","author":"Jeremie","year":"2021","journal-title":"Ann Pathol"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib40","article-title":"A rare case of myxoid adrenocortical carcinoma","volume":"15","author":"Ferrer","year":"2023","journal-title":"Cureus"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib41","article-title":"Adrenocortical sarcomatoid carcinoma revealed by an adrenal incidentaloma: a case report","volume":"16","author":"Bentaleb","year":"2024","journal-title":"Cureus"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib42","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s12022-016-9450-7","article-title":"Sarcomatoid adrenal carcinoma: case report with contribution to pathogenesis","volume":"28","author":"Saeger","year":"2017","journal-title":"Endocr Pathol"},{"issue":"9","key":"10.1016\/j.esmoop.2026.106092_bib43","doi-asserted-by":"crossref","first-page":"5555","DOI":"10.1245\/s10434-022-11626-w","article-title":"Differences in clinicopathologic behavior of oncocytic adrenocortical neoplasms and conventional adrenocortical carcinomas","volume":"29","author":"Shirali","year":"2022","journal-title":"Ann Surg Oncol"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib44","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.surg.2019.05.049","article-title":"Oncocytic subtypes of adrenal cortical carcinoma: aggressive in appearance yet more indolent in behavior?","volume":"166","author":"Mills","year":"2019","journal-title":"Surgery"},{"key":"10.1016\/j.esmoop.2026.106092_bib45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.humpath.2016.09.035","article-title":"Validation of the prognostic role of the \u201cHelsinki Score\u201d in 225 cases of adrenocortical carcinoma","volume":"62","author":"Duregon","year":"2017","journal-title":"Hum Pathol"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib46","first-page":"500","article-title":"Adrenocortical oncocytic tumors: a clinicopathological analysis of 44 cases","volume":"50","author":"Wei","year":"2021","journal-title":"Zhonghua Bing Li Xue Za Zhi"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib47","doi-asserted-by":"crossref","first-page":"682","DOI":"10.5603\/EP.a2018.0066","article-title":"Oncocytic neoplasms; rare adrenocortical tumours\u2014a report of eleven patients","volume":"69","author":"Peynirci","year":"2018","journal-title":"Endokrynol Pol"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib48","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.humpath.2010.08.010","article-title":"Oncocytic adrenocortical neoplasms\u2014a clinicopathologic study of 13 new cases emphasizing the importance of their recognition","volume":"42","author":"Wong","year":"2011","journal-title":"Hum Pathol"},{"issue":"1","key":"10.1016\/j.esmoop.2026.106092_bib49","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s12022-025-09857-0","article-title":"Multicentric retrospective analysis of oncocytic adrenocortical carcinoma: insights into clinical and management strategies","volume":"36","author":"Prinzi","year":"2025","journal-title":"Endocr Pathol"},{"issue":"5","key":"10.1016\/j.esmoop.2026.106092_bib50","doi-asserted-by":"crossref","first-page":"764","DOI":"10.3346\/jkms.2017.32.5.764","article-title":"Myxoid and sarcomatoid variants of adrenocortical carcinoma: analysis of rare variants in single tertiary care center","volume":"32","author":"Sung","year":"2017","journal-title":"J Korean Med Sci"},{"issue":"7","key":"10.1016\/j.esmoop.2026.106092_bib51","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjaa211","article-title":"Adrenocortical sarcomatoid carcinoma: a case report and review of the literature","volume":"2020","author":"Sabrine","year":"2020","journal-title":"J Surg Case Rep"},{"issue":"2","key":"10.1016\/j.esmoop.2026.106092_bib52","first-page":"89","article-title":"Adrenal sarcomatoid carcinoma: a case report and review of the literature","volume":"83","author":"Mark","year":"2014","journal-title":"Ulster Med J"},{"issue":"11","key":"10.1016\/j.esmoop.2026.106092_bib53","doi-asserted-by":"crossref","first-page":"2576","DOI":"10.1016\/j.asjsur.2022.05.161","article-title":"Treatment of a case of adrenocortical sarcomatoid carcinoma","volume":"45","author":"Jia","year":"2022","journal-title":"Asian J Surg"},{"issue":"6","key":"10.1016\/j.esmoop.2026.106092_bib54","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1177\/1066896909356925","article-title":"Myxoid adrenal cortical carcinoma presenting as primary hyperaldosteronism: case report and review of the literature","volume":"19","author":"Hsieh","year":"2011","journal-title":"Int J Surg Pathol"},{"issue":"23","key":"10.1016\/j.esmoop.2026.106092_bib55","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.1056\/NEJMoa1200966","article-title":"Combination chemotherapy in advanced adrenocortical carcinoma","volume":"366","author":"Fassnacht","year":"2012","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.esmoop.2026.106092_bib56","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1210\/jc.2014-3182","article-title":"Major prognostic role of Ki67 in localized adrenocortical carcinoma after complete resection","volume":"100","author":"Beuschlein","year":"2015","journal-title":"J Clin Endocrinol Metab"},{"issue":"9","key":"10.1016\/j.esmoop.2026.106092_bib57","doi-asserted-by":"crossref","first-page":"3566","DOI":"10.1210\/jc.2018-00918","article-title":"Predictors of survival in adrenocortical carcinoma: an analysis from the National Cancer Database","volume":"103","author":"Tella","year":"2018","journal-title":"J Clin Endocrinol Metab"},{"issue":"10","key":"10.1016\/j.esmoop.2026.106092_bib58","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1210\/clinem\/dgad199","article-title":"New findings on presentation and outcome of patients with adrenocortical cancer: results from a national cohort study","volume":"108","author":"Puglisi","year":"2023","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"10.1016\/j.esmoop.2026.106092_bib59","doi-asserted-by":"crossref","first-page":"G1","DOI":"10.1530\/EJE-18-0608","article-title":"European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors","volume":"179","author":"Fassnacht","year":"2018","journal-title":"Eur J Endocrinol"}],"container-title":["ESMO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2059702926000347?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2059702926000347?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:58:50Z","timestamp":1776142730000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2059702926000347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":59,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S2059702926000347"],"URL":"https:\/\/doi.org\/10.1016\/j.esmoop.2026.106092","relation":{},"ISSN":["2059-7029"],"issn-type":[{"value":"2059-7029","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Current clinical management and outcome of patients with adrenal cortical carcinoma (ACC) with rare histological subtypes\u2014an ENSAT cohort study","name":"articletitle","label":"Article Title"},{"value":"ESMO Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.esmoop.2026.106092","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of European Society for Medical Oncology.","name":"copyright","label":"Copyright"}],"article-number":"106092"}}