Adrenocortical carcinoma has often invaded nearby tissues or metastasized to distant organs at the time of diagnosis , and the overall 5-year survival rate is about 50 % .
ADJ NOUN AUX ADV VERB ADJ NOUN CCONJ VERB ADP ADJ NOUN ADP DET NOUN ADP NOUN , CCONJ DET ADJ NOUN NOUN NOUN VERB ADV NUM NOUN .