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Hormone Therapy for Adrenal Cancer
For people with adrenal cancer, medicines may be needed to treat the effects of hormones made by the tumors.
Why hormone therapy is used
Hormone treatment might be done because the tumor can’t be removed completely. Or it might be done to treat the effects of the hormones before surgery is done to help make the procedure safe.
Medicines for hormone-making tumors
Treatment with some of these medicines might be supervised by an endocrinologist (hormone specialist) because adrenal cancers and their treatment can affect the levels of several hormones.
Tumors making too much cortisol
These tumors might be treated with:
- Metyrapone
- Ketoconazole
- Mifepristone
- Etomidate
- Pasireotide
- Osilodrostat
Tumors making too much aldosterone
These tumors might be treated with:
- Spironolactone
- Eplerenone
- Canrenone
- Potassium canrenoate
- Amiloride
Tumors making too much testosterone
Tumors making too much male sex hormone might be treated with:
- Bicalutamide
- Finasteride
- Spironolactone
Tumors making too much estrogen
Tumors making this female sex hormone might be treated with:
- Tamoxifen
Tumors making too many catecholamines
These tumors might be treated with:
- Doxazosin
- Terazosin
- Prazosin
- Phenoxybenzamine
- Metoprolol
- Nicardipine
- Amlodipine
- Metyrosine
More information about hormone therapy
To learn more about how hormone therapy is used to treat cancer, see Hormone Therapy.
To learn about some of the side effects listed here and how to manage them, see Managing Cancer-related Side Effects.
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- References
Developed by the American Cancer Society medical and editorial content team with medical review and contribution by the American Society of Clinical Oncology (ASCO).
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Rossi GP, Rossi FB, Guarnieri C, Rossitto G, Seccia TM. Clinical Management of Primary Aldosteronism: An Update. Hypertension. 2024;81(9):1845-1856.
Young WF. Management of malignant (metastatic) paraganglioma and pheochromocytoma. UpToDate. 2026. Accessed at https://www.uptodate.com/contents/management-of-malignant-metastatic-paraganglioma-and-pheochromocytoma on June 23, 2026.
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Last Revised: October 5, 2026
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