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if (window.onload && window.onload != null)
	DHTMLNavBarTemponload = window.onload;

function DHTMLFullyLoaded() {
	if (DHTMLNavBarTemponload != null) 
		DHTMLNavBarTemponload();
		DHTML_preloadImages('images/btn_physicians.gif','images/btn_physicians_on.gif','images/btn_hospitals.gif','images/btn_hospitals_on.gif','images/btn_departments.gif','images/btn_departments_on.gif','images/btn_offices.gif','images/btn_offices_on.gif','images/btn_services.gif','images/btn_services_on.gif');
	DHTMLrunMouseOvers = true;
	return true;
}	
function DHTMLNavBarMouseOutTimer() {
	if(DHTMLTimerID) 
		clearTimeout(DHTMLTimerID); 
	DHTMLTimerID = setTimeout("DHTMLNavBarLayerRestore()",5000);
}	
function DHTMLRestoreParent(layername) {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault)
		{			
			if(!(aryDHTMLLayerNames[i] == layername) && aryDHTMLLayerNames[i].indexOf("grand") == -1) 
				DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);			
		}
	}
}	
function DHTMLRestoreAll() {
	DHTMLNavBarMouseoverRestore();
	DHTMLNavBarLayerRestore();
}	
function DHTMLNavBarMouseoverRestore() {
	var i = 0;
	var o = null;
	if (DHTMLrunMouseOvers)
	{
		for (var i=0; i < DHTMLimageList.length; i++)
		{
			if (aryDHTMLMoImages[imageList[i]].Moused && (o = aryDHTMLMoImages[imageList[i]].ptrImage)) {
				o.src = aryDHTMLMoImages[imageList[i]].OriginalSrc;
				aryDHTMLMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}	
function DHTMLNavBarLayerRestore() {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault) 
			DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);		
	}
}	
function DHTMLNavBarArrayPushUnique(aryArray, varNewElement){
	//only pushes if unique value
	var pushIt = true;
	for (var i=0;i < aryArray.length && pushIt;i++) 
	{
		pushIt = (varNewElement!=aryArray[i]);
	}
	if(pushIt) 
		DHTMLNavBarArrayPush(aryArray, varNewElement);	
	
	return pushIt;
}
function DHTMLNavBarArrayPush(aryArray, varNewElement) {
	//Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length]=varNewElement;
}	
function DHTMLNavBarArrayPop(aryArray) {
	//Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if(aryArray[aryArray.length-1]) {
		varItemToPop = aryArray[aryArray.length-1];
		aryArray[aryArray.length]=null;
	}
	return varItemToPop;
}
	
var registeredObjects = new Array();
//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function DHTMLNavBarMM_findObj(n, d) {
	x = document.getElementById(n);
	return x;
}
	
var DHTMLNavBarTime         = 100;
var DHTMLNavBarTimes        = 2;
var DHTMLNavBarmoveDistance = 1;
var DHTMLNavBarThisLoc      = 325;
var aryDHTMLLayerNames      = new Array();
var aryDHTMLNavBarLayerInfo = new Array();
var aryDHTMLNavBarLayers    = new Array();
	
function DHTMLNavBarArrayContains()	{
	var a = DHTMLNavBarArrayContains.arguments;
	var foundit = false;
	for(var i=0; i < a[0].length && !foundit; i++) 
	{
		foundit = (a[1]==a[0][i]);
	}
	return foundit;
}
	
function DHTMLNavBarRegisterLayer()	{
	var a = DHTMLNavBarRegisterLayer.arguments;
	var n = a[0];
	var d = a[1];
	if(a[2] && a[2] == 'MOutLayer')
		var mo = true;
	else 
		var mo = false;	
	
	if(!(DHTMLNavBarArrayContains(aryDHTMLLayerNames,n)))
	{
		if(o = DHTMLNavBarMM_findObj(n))
		{
			aryDHTMLNavBarLayers[n] = o;
			DHTMLNavBarArrayPushUnique(aryDHTMLLayerNames,n);
			aryDHTMLNavBarLayerInfo[n] = new DHTMLNavBarLayer(n,d,mo);
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideLayers()	{
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer(); 
	for (var i=0; i<(args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 		if(args[args.length-1] == "restore") 
				v = (v=='show')?'hide':'show';			
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
				obj.visibility = v;			
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideGrandLayers() {
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideGrandLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer();
	for (var i=0; i < (args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 			if(args[args.length-1] == "restore"){
				v = (v=='show')?'hide':'show';		
			}
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
	 			obj.visibility = v;			
		}
	}
}
function DHTMLNavBarRestoreLayers()	{
	var i,p,v,obj,args = DHTMLNavBarRestoreLayers.arguments;
	for (var i=0; i < (args.length); i++)
	{		
	 	if (obj = aryDHTMLNavBarLayers[args[i]])
		{
			v = aryDHTMLNavBarLayerInfo[args[i]].defaultVisibility;
			var strobjid = obj.id;
			if (obj.style)
			{
				obj=obj.style;				
				v=(v=='show')?'visible':(v='hide')?'hidden':v;
			}
			obj.visibility = v;
			if (!aryDHTMLNavBarLayerInfo[args[i]].MOutLayer) 
				aryDHTMLNavBarLayerInfo[args[i]].isDefault=true;			
		}
	}
}
function DHTMLNavBarLayer()	{
	var a = DHTMLNavBarLayer.arguments;
	this.defaultVisibility = a[1];
	this.isDefault = true;
	this.MOutLayer = a[2];
}
	
var viz = "hide";
function DHTMLNavBarNavMove() {
	if(thisl==DHTMLNavBarMM_findObj("DHTMLNavBarScrollLayer"))	
	{
		if(thisl.style)
		{
			thisl=thisl.style;
			viz="hidden";
		}
		thisl.top = DHTMLNavBarThisLoc -= 3;
		if(DHTMLNavBarThisLoc < -750)
		{
			DHTMLNavBarThisLoc=325;
			DHTMLNavBarTimes--;
		}
	}
	if (DHTMLNavBarTimes<=0)
	{
		otherl=DHTMLNavBarMM_findObj("DHTMLNavBarLayer");
		otherl.visibility=viz;
	}
	else setTimeout("DHTMLNavBarNavMove()",DHTMLNavBarTime);	
}
function DHTML_swapImgRestore()	{ 	
 	var i,x,a=document.Sliding_sr;
 	for(var i=0; a && i < a.length && (x=a[i]) && x.oSrc; i++) 
	{			
		x.src = x.oSrc;
	}
}
function DHTML_preloadImages() { 
 	var d=document;
 	if(d.images)
 	{
 		if(!d.Sliding_p) 
			d.Sliding_p=new Array();	
		var i,j=d.Sliding_p.length,a=DHTML_preloadImages.arguments;
		for(var i=0; i < a.length; i++)
		{
	 		if (a[i].indexOf("#")!=0)
			{
				d.Sliding_p[j]=new Image;
				d.Sliding_p[j++].src=a[i];
			}
		}
	}
}
function DHTML_findObj(n, d) { 
	var p,i,x;
	if(!d) 
		d=document;	
	if((p=n.indexOf("?")) > 0 && parent.frames.length)
	{
	 	d=parent.frames[n.substring(p+1)].document;
		n=n.substring(0,p);
	}
	if(!(x=d[n]) && d.all) 
		x=d.all[n];
	for (var i=0; !x && i < d.forms.length; i++) 
	{
		x = d.forms[i][n];	
	}
	for(var i=0; !x && d.layers && i < d.layers.length; i++) 
	{
		x = DHTML_findObj(n,d.layers[i].document);
	}
	 if(!x && d.getElementById) 
		x=d.getElementById(n);	
		
	return x;
}
function DHTML_swapImage() { 
	var i,j=0,x,a=DHTML_swapImage.arguments;
	document.Sliding_sr=new Array;
	for(var i=0; i < (a.length-2); i+=3)
	{
		if ((x=DHTML_findObj(a[i]))!=null)
		{
			document.Sliding_sr[j++] = x;
			if(!x.oSrc)
				x.oSrc=x.src;			
			x.src = a[i+2];
		}
	}
}
function DHTMLNavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
window.onload = DHTMLFullyLoaded;
			

//-->
</script>
			
	
<table border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td valign="top">
		<div id="lryParentmain54" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_physicians_1_54','','images/btn_physicians_on.gif',54);DHTMLNavBarMM_showHideLayers('lyr54','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('54');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow54" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink54"><a href="body.cfm?id=54" target="" class="clMain1"><img src="images/btn_physicians.gif" border="0" id="btn_physicians_1_54" alt="UCLA Physicians" ></a></td>
				</tr>
			</table>
			<div id="lyr54" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow54_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_1"><a href="body.cfm?id=479" target="" class="clSubb1">Physician Directory</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_2"><a href="body.cfm?id=308" target="" class="clSubb1">Physician Referral Service</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_3"><a href="body.cfm?id=1087" target="" class="clSubb1">Cancer Specialists</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_4"><a href="http://www.uclahealth.org/body_mattel.cfm?id=956&amp;oTopID=956" target="" class="clSubb1">Pediatric Physicians</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_5"><a href="body.cfm?xyzpdqabc=0&amp;id=479&amp;action=list&amp;subaction=specialty&amp;searchaction=simple&amp;specialtygroups=family%20medicine,internal%20medicine,pediatrics,obstetrics%20&amp;%20gynecology" target="" class="clSubb1">Primary Care Physicians by Specialty</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_6"><a href="body.cfm?xyzpdqabc=0&amp;id=479&amp;action=list&amp;subaction=location&amp;searchaction=simple" target="" class="clSubb1">Primary Care Physicians by Location</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_7"><a href="body.cfm?id=932" target="" class="clSubb1">Voted Best Doctors</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_8"><a href="body.cfm?id=1162" target="" class="clSubb1">Voted Super Doctors</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr54" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr54" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:120;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
		</td>
		<td valign="top">
		<div id="lryParentmain56" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_hospitals_1_56','','images/btn_hospitals_on.gif',56);DHTMLNavBarMM_showHideLayers('lyr56','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('56');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow56" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink56"><a href="body.cfm?id=56" target="" class="clMain1"><img src="images/btn_hospitals.gif" border="0" id="btn_hospitals_1_56" alt="UCLA Hospitals" ></a></td>
				</tr>
			</table>
			<div id="lyr56" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow56_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_1"><a href="homepage_med.cfm?id=264" target="" class="clSubb1">Ronald Reagan UCLA Medical Center</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_2"><a href="homepage_sanmon.cfm?id=265" target="" class="clSubb1">Santa Monica UCLA Medical Center and Orthopaedic Hospital</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_3"><a href="homepage_mattel.cfm?id=266" target="" class="clSubb1">Mattel Children's Hospital UCLA</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_4"><a href="homepage_neuro.cfm?id=267" target="" class="clSubb1">Resnick Neuropsychiatric Hospital at UCLA</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr56" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr56" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:60;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
		</td>
		<td valign="top">
		<div id="lryParentmain977" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_departments_1_977','','images/btn_departments_on.gif',977);DHTMLNavBarMM_showHideLayers('lyr977','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('977');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow977" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink977"><a href="body.cfm?id=977" target="" class="clMain1"><img src="images/btn_departments.gif" border="0" id="btn_departments_1_977" alt="Departments" ></a></td>
				</tr>
			</table>
			<div id="lyr977" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow977_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_1"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=10" target="" class="clSubb1">Anesthesiology</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_2"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=12" target="" class="clSubb1">Dental Services</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_3"><a href="http://clinicaltrials.ucla.edu" target="" class="clSubb1">Clinical Trials</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_4"><a href="http://www.donatedbodyprogram.ucla.edu" target="" class="clSubb1">Donated Body Program</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_5"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=31" target="" class="clSubb1">Emergency Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_6"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=14" target="" class="clSubb1">Family Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_7"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=15" target="" class="clSubb1">Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_8"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=16" target="" class="clSubb1">Neurology</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_9" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_9"><a href="http://neurosurgery.ucla.edu/default.cfm" target="" class="clSubb1">Neurosurgery</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
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Both men and women can develop this tumor. Adrenocortical carcinoma can produce the hormones cortisol, estrogen, or aldosterone. In women the tumor often releases the hormones, which can lead to male characteristics.</p><p>The cause is unknown. About 2 people per million develop this type of tumor.</p><BR><BR></div><div id="AEAdamdiv3" class="adam_01"><b class="adam_01">Symptoms:</b> <p>Symptoms that suggest increased cortisol production:</p><ul><li>Fatty, rounded hump high on the back just below the neck (<a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003112&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">buffalo hump</a> )</li><li>Flushed rounded face with pudgy cheeks (<a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003105&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">moon face</a>  )</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003101&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Obesity</a> </li><li>Stunted growth in height (<a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003271&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">short stature</a> )</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=002339&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Virilization</a>  - the appearance of male characteristics, including increased body hair especially on face, pubic hair, <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=000873&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">acne</a> , deepening of voice, and enlarged clitoris (girls)</li></ul><p>Symptoms that suggest increased aldosterone production are the same as symptoms of low potassium and include weakness, muscle cramps, increased thirst, and urination.</p><BR><BR></div><div id="AEAdamdiv4" class="adam_01"><b class="adam_01">Signs and tests:</b> <p>A physical exam reveals <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=000468&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">high blood pressure</a> . Blood work will be done to check hormone levels:</p><ul><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003695&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">ACTH</a>  level will be low.</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003704&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Aldosterone</a>  level will be high.</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003693&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Cortisol</a>  level will be high.</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003484&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Potassium</a>  level will be low.</li></ul><p>Imaging tests may include:</p><ul><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003796&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Abdominal MRI</a> </li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003815&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Abdominal x-ray</a> </li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=003789&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">CT scan of the abdomen</a> </li></ul><BR><BR></div><div id="AEAdamdiv5" class="adam_01"><b class="adam_01">Treatment:</b> <p>Primary treatment is surgery to remove the tumor. Adrenocortical carcinoma may not improve with <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=002324&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">chemotherapy</a> . Medications may be given to reduce production of cortisol, which causes many of the symptoms.</p><BR><BR></div><div id="AEAdamdiv6" class="adam_01"><b class="adam_01">Support Groups:</b> <p /><BR><BR></div><div id="AEAdamdiv7" class="adam_01"><b class="adam_01">Expectations (prognosis):</b> <p>The outcome depends on how early the diagnosis is made and whether the tumor has spread (metastasized). Tumors that have spread often lead to death within 1 to 3 years.</p><BR><BR></div><div id="AEAdamdiv8" class="adam_01"><b class="adam_01">Complications:</b> <p>The tumor can spread to the liver, bone, lung, or other areas.</p><BR><BR></div><div id="AEAdamdiv9" class="adam_01"><b class="adam_01">Calling your health care provider:</b> <p>Call your health care provider if you or your child has symptoms of adrenocortical carcinoma, <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_1&amp;AEArticleID=000410&amp;AEProductID=Adam2004_1&amp;AEProjectTypeIDURL=APT_1">Cushing syndrome</a> , or failure to grow.</p><BR><BR></div><div id="AEAdamdiv10" class="adam_01"><b class="adam_01">Prevention:</b> <p /><BR><BR></div><div id="AEAdamdiv12" class="adam_01"><b class="adam_01">References:</b> <p>Lal G, O’Dorisio T, McDougall R, Weigel RJ. Cancer of the endocrine system. In: Abeloff MD, Armitage JO, Niederhuber JE, Kastan MB, McKena WG, eds. <em>Clinical Oncology</em>. 4th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 75.</p><BR><BR></div></td></tr><tr class="adam_01"><td class="adam_01"><hr class="adam_01"></td></tr><tr class="adam_01"><td class="adam_01">Review Date: 11/10/2008<br class="adam_01">Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.<br class="adam_01"></td></tr><tr class="adam_01"><td align="left" valign="top" width="470" class="adam_01"><br class="adam_01"><font size="1" class="adam_01">
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