Response to radiation therapy in adrenocortical carcinoma
Abstract
Introduction Adrenocortical carcinoma (ACC) is a rare disease which is considered resistant to many treatments. The role of radiotherapy in ACC remains unclear. In general radiotherapy is thought to be ineffective for the treatment of ACC, and therefore not often used. However, recent reports suggest the opposite. The aim of this study was to perform a retrospective analysis to evaluate the application of radiotherapy in Dutch ACC patients, and to determine the occurrence of response.Materials and methods The Dutch ACC Registry (no.=159) was screened for patients who had received radiotherapy between 1990 and 2008. Tumor response evaluation was performed according to the Response Evaluation Criteria In Solid Tumors (RECIST).Results Only 13 patients (8% of registered patients) had received radiation therapy of whom 6 were irradiated for the palliation of painful bone metastases. In all patients this radiation resulted in pain relief. Three patients received adjuvant tumor bed radiation after resection. Four patients were radiated on irresectable tumor recurrence or tumor metastases. Two patients died soon after radiation therapy and therefore follow-up information regarding tumor response after radiation therapy of 2 patients was available. Interestingly, partial tumor response according to RECIST criteria, was observed in both patients.Conclusion ACC can be sensitive to radiotherapy and should be considered in the treatment of advanced ACC, particularly in worrisome lesions. The role of radiotherapy in advanced ACC is to complement a systemic treatment such as mitotane or classic cytotoxic agents.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Radiotherapy has been shown in several recent series to offer a significant improvement in disease control in both adjuvant and palliative settings, although such improvement has not been universally demonstrated.
“Although traditionally considered ineffective for ACC (327–331), radiotherapy has been shown in several recent series to offer a significant improvement in disease control in both the adjuvant and palliative settings (247, 332–337), although such an improvement has not been universally demonstrated (338).”
From Adrenocortical carcinoma (2014) · cites this paper as [333]
Hermsen et al found all 6 patients treated for bone metastases were successfully palliated.
“Hermsen et al (333) found similar outcomes, as all 6 patients that they treated for bone metastases were successfully palliated.”
From Adrenocortical carcinoma (2014) · cites this paper as [333]
Cites
Adjuvant Mitotane Treatment for Adrenocortical Carcinoma
Terzolo, M., Angeli, A., Faßnacht, M., Daffara, F., Tauchmanovà, L., Conton, P. A., Rossetto, R., Buci, L., Sperone, P., Grossrubatscher, E. M., et al. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa063360 · Cited by 759 · see citing works
Luton, J.-P., Cerdas, S., Billaud, L., Thomas, G., Guilhaume, B., Bertagna, X., Laudat, M.-H., Louvel, A., Chapuis, Y., Blondeau, P., et al. (1990) · New England Journal of Medicine · doi:10.1056/nejm199004263221705 · Cited by 717 · see citing works
Management of patients with adrenal cancer: recommendations of an international consensus conference
Schteingart, D. E., Doherty, G. M., Gauger, P. G., Giordano, T. J., Hammer, G. D., Korobkin, M., & Worden, F. P. (2005) · Endocrine Related Cancer · doi:10.1677/erc.1.01029 · Cited by 421 · see citing works
Schulick, R. D., & Brennan, M. F. (1999) · Annals of Surgical Oncology · doi:10.1007/s10434-999-0719-7 · Cited by 366 · see citing works
Clinical management of adrenocortical carcinoma
Fassnacht, M., & Allolio, B. (2009) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2008.10.008 · Cited by 349 · see citing works
An eleven-year experience with adrenocortical carcinoma.
Pommier, R. F., & Brennan, M. F. (1992) · PubMed · Cited by 332 · see citing works
Hutter, A. M., & Kayhoe, D. E. (1966) · The American Journal of Medicine · doi:10.1016/0002-9343(66)90220-8 · Cited by 271 · see citing works
Adrenocortical cancer: pathophysiology and clinical management
Libé, R., Fratticci, A., & Bertherat, J. Y. (2007) · Endocrine Related Cancer · doi:10.1677/erc.1.01130 · Cited by 271 · see citing works
Efficacy of adjuvant radiotherapy of the tumor bed on local recurrence of adrenocortical carcinoma
Fassnacht, M., Hahner, S., Polat, B., Koschker, A.-C., Kenn, W., Flentje, M., & Allolio, B. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-1007 · Cited by 259 · see citing works
Natural history of adrenal cortical carcinoma: A clinicopathologic study of 42 patients
Didolkar, M. S., Bescher, R. A., Elias, E. G., & Moore, R. H. (1981) · Cancer · doi:10.1002/1097-0142(19810501)47:9 · Cited by 243 · see citing works
Management of adrenocortical carcinoma
Allolio, B., Hahner, S., Weismann, D., & Fassnacht, M. (2004) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2003.01881.x · Cited by 214 · see citing works
Radiotherapy in adrenocortical carcinoma
Polat, B., Fassnacht, M., Pfreundner, L., Guckenberger, M., Bratengeier, K., Johanssen, S., Kenn, W., Hahner, S., Allolio, B., & Flentje, M. (2009) · Cancer · doi:10.1002/cncr.24331 · Cited by 189 · see citing works
Adrenal cortical carcinoma a study of 77 cases
Nader, S., Hickey, R. C., Sellin, R. V., & Samaan, N. A. (1983) · Cancer · doi:10.1002/1097-0142(19830815)52:4 · Cited by 172 · see citing works
Brennan, M. F. (1987) · CA A Cancer Journal for Clinicians · doi:10.3322/canjclin.37.6.348 · Cited by 125 · see citing works
Abraham, J., Bakke, S., Rutt, A., Meadows, B., Merino, M. J., Alexander, R. H., Schrump, D. S., Bartlett, D., Choyke, P. L., Robey, R. W., et al. (2002) · Cancer · doi:10.1002/cncr.10487 · Cited by 120 · see citing works
Schulick, R. D., & Brennan, M. F. (1999) · World Journal of Urology · doi:10.1007/s003450050101 · Cited by 73 · see citing works
Therasse, P., Cesne, A. L., Glabbeke, M. M. V., Verweij, J., & Judson, I. R. (2005) · European Journal of Cancer · doi:10.1016/j.ejca.2005.04.005 · Cited by 58 · see citing works
Samaan, N. A., & Hickey, R. C. (2007) · American Registry of PathologyWashington, DC eBooks · doi:10.55418/9781881041016-05 · Cited by 38 · see citing works
Venkatesh (1989) · doi:10.1002/1097-0142(19890801)64:3
King (1979) · doi:10.1002/1097-0142(197907)44:1
Flagged first, then by citations
1 of the 21 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Else, T., Kim, A. C., Sabolch, A., Raymond, V. M., Kandathil, A., Caoili, E. M., Jolly, S., Miller, B. S., Giordano, T. J., & Hammer, G. D. (2014) · Endocrine Reviews · doi:10.1210/er.2013-1029 · Cited by 892 · see citing works
Adrenocortical carcinoma: a clinician’s update
Fassnacht, M., Libé, R., Kroiss, M., & Allolio, B. (2011) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2010.235 · Cited by 396 · see citing works
Sabolch, A. N., Else, T., Griffith, K. A., Ben‐Josef, E., Williams, A., Miller, B. S., Worden, F. P., Hammer, G. D., & Jolly, S. (2015) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2015.01.007 · Cited by 81 · see citing works
Adrenocortical carcinoma: The management of metastatic disease
Fay, A. P., Elfiky, A. A., Teló, G. H., McKay, R. R., Kaymakcalan, M. D., Nguyen, P. L., Vaidya, A., Ruan, D. T., Joaquim Bellmunt, B., & Choueiri, T. K. (2014) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2014.05.009 · Cited by 69 · see citing works
Future directions in the diagnosis and medical treatment of adrenocortical carcinoma
Creemers, S. G., Hofland, L. J., Korpershoek, E., Franssen, G. J. H., van Kemenade, F. J., de Herder, W. W., & Feelders, R. A. (2015) · Endocrine Related Cancer · doi:10.1530/erc-15-0452 · Cited by 59 · see citing works
Gharzai, L. A., Green, M. D., Griffith, K. A., Else, T., Mayo, C. S., Hesseltine, E., Spratt, D. E., Ben‐Josef, E., Sabolch, A. N., Miller, B. S., et al. (2019) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2019-00029 · Cited by 59 · see citing works
Diagnosis, treatment and outcome of adrenocortical cancer
Mihai, R. (2015) · British journal of surgery · doi:10.1002/bjs.9743 · Cited by 56 · see citing works
Current and Emerging Therapies for Advanced Adrenocortical Carcinoma
Tacon, L. J., Prichard, R. S., Soon, P. S. H., Robinson, B. G., Clifton-Bligh, R. J., & Sidhu, S. B. (2011) · The Oncologist · doi:10.1634/theoncologist.2010-0270 · Cited by 42 · see citing works
Developing treatment for adrenocortical carcinoma
Kerkhofs, T. M. A., Ettaieb, M. H. T., Hermsen, I. G. C., & Haak, H. R. (2015) · Endocrine Related Cancer · doi:10.1530/erc-15-0318 · Cited by 41 · see citing works
Adrenocortical Carcinoma: Current Therapeutic State-of-the-Art
Lebastchi, A. H., Kunstman, J. W., & Carling, T. (2012) · Journal of Oncology · doi:10.1155/2012/234726 · Cited by 39 · see citing works
Ronchi, C. L., Kroiß, M., Sbiera, S., Deutschbein, T., & Faßnacht, M. (2014) · European Journal of Endocrinology · doi:10.1530/eje-14-0273 · Cited by 39 · see citing works
Therapy of adrenocortical cancer: present and future.
Maluf, D. F., de Oliveira, B. H., & Lalli, E. (2011) · Europe PMC (PubMed Central) · Cited by 34 · see citing works
Adjuvant radiotherapy after surgical resection for adrenocortical carcinoma
Viani, G. A., & Viana, B. S. (2018) · Journal of Cancer Research and Therapeutics · doi:10.4103/jcrt.jcrt_996_15 · Cited by 31 · see citing works
Efficacy and safety of radiation therapy in advanced adrenocortical carcinoma
Kimpel, O., Schindler, P., Schmidt-Pennington, L., Altieri, B., Megerle, F., Haak, H. R., Pittaway, J. F. H., Dischinger, U., Quinkler, M. O., Mai, K., et al. (2022) · British Journal of Cancer · doi:10.1038/s41416-022-02082-0 · Cited by 28 · see citing works
Li, Y., Bian, X., Ouyang, J., Wei, S., He, M., & Luo, Z. (2018) · Cancer Management and Research · doi:10.2147/cmar.s187169 · Cited by 23 · see citing works
The efficacy of radiation therapy in adrenocortical carcinoma
Luo, Y., Chen, S., Zheng, X.-G., Luo, L., & Wang, S. (2017) · Medicine · doi:10.1097/md.0000000000006741 · Cited by 21 · see citing works
Current and Emerging Therapeutic Options in Adrenocortical Cancer Treatment
Stigliano, A., Cerquetti, L., Sampaoli, C., Bucci, B., & Toscano, V. (2012) · Journal of Oncology · doi:10.1155/2012/408131 · Cited by 19 · see citing works
Current Evidence on Local Therapies in Advanced Adrenocortical Carcinoma
Kimpel, O., Dischinger, U., Altieri, B., Fuß, C. T., Polat, B., Kickuth, R., Kroiß, M., & Faßnacht, M. (2024) · Hormone and Metabolic Research · doi:10.1055/a-2209-6022 · Cited by 17 · see citing works
Characteristics of adrenocortical carcinoma in South Korea: a registry-based nationwide survey
Lim, J. S., Lee, S., Kim, J. H., Kim, J. H., & _, _. (2020) · Endocrine Connections · doi:10.1530/ec-20-0196 · Cited by 17 · see citing works
Wu, K., Liu, X., Liu, Z., Lu, Y., Wang, X., & Li, X. (2021) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2021.7035 · Cited by 16 · see citing works
The Value of Local Therapies in Advanced Adrenocortical Carcinoma
Kimpel, O., Altieri, B., Laganà, M., Vogl, T. J., Adwan, H., Dušek, T., Basile, V., Pittaway, J. F. H., Dischinger, U., Quinkler, M. O., et al. (2024) · Cancers · doi:10.3390/cancers16040706 · Cited by 16 · see citing works
Adrenocortical Carcinoma: Modern Management and Evolving Treatment Strategies
McDuffie, L. A., & Aufforth, R. (2016) · International Journal of Endocrine Oncology · doi:10.2217/ije-2015-0003 · Cited by 10 · see citing works
Cancer of the Endocrine System
Asban, A. A., Patel, A. J., Reddy, S., Wang, T., Balentine, C. J., & Chen, H. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-47674-4.00068-2 · Cited by 10 · see citing works
High TNFSF13B expression as a predictor of poor prognosis in adrenocortical carcinoma
Mao, Y., Alimu, P., Wang, C., Ma, W., Zhuo, R., & Sun, F. (2021) · Translational Andrology and Urology · doi:10.21037/tau-21-232 · Cited by 9 · see citing works
Radiopharmaceuticals for Treatment of Adrenocortical Carcinoma
Michalski, K., Schlötelburg, W., Hartrampf, P. E., Kosmala, A., Buck, A. K., Hahner, S., & Schirbel, A. (2023) · Pharmaceuticals · doi:10.3390/ph17010025 · Cited by 6 · see citing works
Ronchi, C. L., Kroiß, M., Sbiera, S., Deutschbein, T., & Faßnacht, M. (2014) · Cited by 6 · see citing works
Atallah, S., Alassaf, H., Xu, Y., & El-Sayed, S. M. (2017) · Current Oncology · doi:10.3747/co.24.3533 · Cited by 6 · see citing works
Ettaieb, M. H. T. (2020) · doi:10.26481/dis.20201218me · Cited by 4 · see citing works
Li, P., Su, X., Zhang, X., Sun, L., & Zhang, G. (2023) · International Journal of General Medicine · doi:10.2147/ijgm.s399473 · Cited by 2 · see citing works
Brouns, S. H. A., Kerkhofs, T. M. A., Hermsen, I. G. C., & Haak, H. R. (2011) · InTech eBooks · doi:10.5772/21603 · Cited by 2 · see citing works
Le corticosurrénalome chez l’enfant : prise en charge actuelle et perspectives
Leblond, P., Delebarre, M., & Aubert, S. (2011) · Bulletin du Cancer · doi:10.1684/bdc.2011.1357 · Cited by 3 · see citing works
Uncommon Adrenal Tumors in Children and Adolescents
Ribeiro, R. C., Galindo, C. R., Pinto, E. M., Zambetti, G. P., & de Figueiredo, B. C. (2017) · Wiley eBooks · doi:10.1002/9781119196235.ch77 · Cited by 2 · see citing works
Creemers, S. G., Hofland, L. J., & Feelders, R. A. (2016) · Springer eBooks · doi:10.1007/978-3-319-44136-8_12 · Cited by 2 · see citing works
Oncological Management of Adrenocortical Carcinoma: An Update and Critical Review
Rowell, N. P. (2025) · Oncology and Therapy · doi:10.1007/s40487-025-00327-5 · Cited by 2 · see citing works
Le corticosurrénalome: une cause exceptionnelle d’hyperaldostéronisme primaire
Zantour, B., Charrada, I., Elati, Z., Ammari, F. L., Boubaker, F., Arfa, S., Berriche, O., Alaya, W., & Sfar, M. H. (2018) · Pan African Medical Journal · doi:10.11604/pamj.2018.31.60.16973 · Cited by 1 · see citing works
Uncommon Adrenal Tumors in Children and Adolescents
Ribeiro, R. C., Galindo, C. R., Pinto, E. M., Zambetti, G. P., & de Figueiredo, B. C. (2012) · Wiley eBooks · doi:10.1002/9781118464557.ch67 · Cited by 1 · see citing works
Kerkhofs, T. M. A. (2015) · doi:10.26481/dis.20151112tk · Cited by 1 · see citing works
Desai, M., Bathini, P., Bee, H., & Kancha, R. K. (2024) · Springer eBooks · doi:10.1007/978-981-97-1802-3_19 · Cited by 1 · see citing works
New Perspectives on Diagnostics, Prognosis, and Therapy in Aggressive Endocrine Tumours
Appetecchia, M., Wolffenbuttel, B. H. R., & AlJadir, S. J. (2012) · Journal of Oncology · doi:10.1155/2012/820938
Marinova, L., Vasileva, V., Gabrovski, I., Petrov, V., & Kahchiev, N. (2022) · Journal of Pediatrics Research Reviews & Reports · doi:10.47363/jprrr/2022(4)144
Chen, T., Zeng, D., Zhou, G., Qin, L., & Qian, X. (2025) · Medicine · doi:10.1097/md.0000000000042831 · Cited by 1 · see citing works
He, M., & He, M. Y. (2025) · Discover Oncology · doi:10.1007/s12672-025-03653-2
- Authors
- Hermsen, I. G. C., Groenen, Y. E., Dercksen, M. W., Theuws, J., & Haak, H. R.
- Affiliations
- Máxima Medisch Centrum (NL)
- Catharina Ziekenhuis (NL)
- Corresponding author
- Hermsen, I. G. C.
- Venue
- Journal of Endocrinological Investigation
- Published
- 2010-03-10
- Volume
- 33
- Issue
- 10
- Pages
- 712-714
- ISSN
- 0391-4097 (ISSN-L)
- 1720-8386
- OpenAlex
- W1963564387
- Cited by
- 42
- References
- 21
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Endocrinological Investigation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- adrenocortical carcinoma, radiotherapy, tumor response, RECIST, palliative radiotherapy, bone metastasis, adjuvant radiotherapy, tumor recurrence, advanced disease, mitotane
- MeSH terms
- Adrenal Cortex Neoplasms, Aged, Bone Neoplasms, Female, Humans, Male, Middle Aged, Netherlands, Radiography, Abdominal, Recurrence, Registries, Retrospective Studies, Survival Analysis, Treatment Outcome, Adrenocortical Carcinoma, Radiotherapy, Adjuvant
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review