stage IV adrenocortical carcinoma

Definition of stage IV adrenocortical cancer
National Cancer Institute

stage IV adrenocortical cancer

(... uh-DREE-noh-KOR-tih-kul KAN-ser)
The tumor is any size, may have spread to nearby lymph nodes, and has spread to other parts of the body, such as the lung, bone, or peritoneum.

Source: NCI Dictionary of Cancer Terms