Abstract

ABSTRACT Background Mitotane is the cornerstone of adjuvant adrenocortical cancer (ACC) treatment. However, its use is burdened with frequent adverse events. Methods A retrospective analysis of adverse events was performed in 26 ACC patients adjuvantly treated with mitotane. Results Mitotane toxicity was present in all patients (100%). Two (7.7%) patients developed 1–3 adverse events, 15 (57.7%) experienced 4–6 adverse events and 9 (34.6%) patients had more than 6 adverse events. Two (7.7%) patients discontinued mitotane due to adverse events. Conclusion Careful monitoring and timely management are essential for ensuring mitotane treatment adherence and maximizing its benefits.

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