“…Next generation DNA sequencing (NGS) has brought about revolution in genomic research. In the literature, numerous reports can be found proposing comprehensive and novel molecular pathophysiological, diagnostic, therapeutic and prognostic genes associated with ACC [ 4 , 50 , 113 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 ]. Zheng et al have summarized proposed genes as potential drivers involved in sporadic adrenocortical tumorigenesis, including insulin-like growth factor 2, β-catenin (CTNNB1), TP53, ZNRF3 and TERT, as well as novel nominated drivers such as PRKAR1A, RPL22, TERF2, CCNE1 and NF1 [ 161 ].…”