Since they originate from the basal cell layer, other than secretive, glandular epithelium, the almost or true negative Prostate-specific antigen (PSA) immunohistochemical staining is one of the usual features of ACC/BCC, except for some positive cases, especially in mixed-form ACC/BCC plus acinar adenocarcinoma [12,13]. Here, KLK3 is linked to adrenal cortex carcinoma.