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stage IV adrenocortical cancer (... uh-DREE-noh-KOR-tih-kul KAN-ser)
The tumor can be any size and has spread (1) to fat and lymph nodes near the adrenal gland; or (2) to organs near the adrenal gland and may have spread to nearby lymph nodes; or (3) to other parts of the body, such as the liver or lung.