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HighlightsAdrenal incidetaloma could be mixed tumor, and should be considered in every case.Radiological signs play an important rules in differentiate malignant from benign adrenal tumor.Complete immunohistochemical study is necessary to confirm pheochromocytoma that presents normally in the clinic.Additional reported cases and clinical trials are needed to put more effective treatment plans for Mixed corticomedullary adrenal carcinoma.

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