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Adrenal Cortical carcinoma is a rare malignant tumor with an incidence of 0.5-2 cases per million per year accounting for 0.2% of cancer deaths. Fifty percent of tumours are functional and Cushing’s Syndrome is the most common presentation. We present a 24-year female, para 2 presented with 5 months history secondary ammenorrhoea, male pattern hair growth, acne vulgaris, puffiness of feet, breathlessness on exertion and progressive weight gain. She has clinical and biochemical evidence of all three sets of hormone excess.
