Surgery and Heated Intraperitoneal Chemotherapy for Adrenocortical Carcinoma

This trial is studying a combination of surgery and heated chemotherapy delivered directly into the abdomen (called HIPEC) as a treatment for adrenocortical carcinoma (a rare cancer of the adrenal gland) that has spread inside the belly. **You may be eligible if...** - You have been diagnosed with adrenocortical carcinoma (confirmed by biopsy) - Most of your cancer is confined to the abdominal cavity - Your tumors are considered removable based on CT or PET scan imaging - Any spread to the liver involves 5 or fewer lesions and can be fully removed - Any lung spread involves 3 or fewer lesions and can be fully removed **You may NOT be eligible if...** - Your cancer has spread widely beyond the abdomen in a way that cannot be fully removed - You have large amounts of fluid in the belly (ascites) or bowel blockage - Your overall health is too poor for major surgery Talk to your doctor to see if this trial is right for you.