Adrenocorticotropic hormone-secreting pancreatic neuroendocrine carcinoma with multiple organ infections and widespread thrombosis: A case report

Table 1 Laboratory data on admission

Blood cell count		RR	Units	Biochemical and immunology		RR	Units	Endocrinology		RR	Units
White blood cell	6530	3300-8600	/μL	Total protein	4.7	6.6-8.1	g/dL	Cortisol	134.2	4.5-21.1	μg/dL
Neutrophils	91.1	37.0-72.0	%	Albumin	2.8	4.1-5.1	g/dL	Cortisol (23:00)1	56.2		μg/dL
Lymphocytes	6.0	20.0-50.9	%	BUN	21.3	8.0-20.0	mg/dL	Cortisol (8 mg-DST)1	118.0		μg/dL
CD3+CD4+	24.06	40.4-57.4	%	Creatinine	0.67	0.46-0.79	mg/dL	Urine cortisol1	6,550	26-187	μg/day
CD4+CD8+	15.46	15.0-30.0	%	Uric acid	2.2	2.6-5.5	mg/dL	ACTH	134.2	4.5-21.1	pg/mL
CD4+/CD8+ ratio	1.56			Na	150	138-145	mEq/L	ACTH (8 mg-DST)1	342.0		pg/mL
Monocytes	2.6	4.1-10.6	%	K	2.7	3.6-4.8	mEq/L
Eosinophils	0.0	0.6-8.3	%	Cl	108	101-108	mEq/L	Tumor Marker		RR	Units
Basophils	0.3	0.0-1.3	%	Ca	7.9	8.8-10.1	mg/dL	CEA	4.8	< 5.2	ng/mL
Red blood cell	489	386-492	× 104/μL	P	2.2	2.7-4.6	mg/dL	CA19-9	28.8	< 36.8	U/mL
Hemoglobin	12.5	11.6-14.8	g/dL	AST	121	13-30	U/L	DUPAN-2	47	0-150	U/mL
Hematocrit	37.3	35.1-44.1	%	ALT	294	7-23	U/L	SPAN-1	15	0-30	U/mL
Platelet	37	15.8-34.8	× 104/μL	LDH	978	124-222	U/L
				γ-GTP	226	9-32	U/L	Infection		RR	Units
Coagulation		RR	Units	ALP	514	106-322	U/L	HBsAg	< 0.01	< 0.05	IU/mL
APTT	20.7	< 37.0	Seconds	T-Bil	1.0	0.4-1.5	mg/dL	HBsAb	0.37	< 10.00	IU/mL
PT	11.1	9.8-12.1	Seconds	CRP	0.26	< 0.14	mg/dL	HBcAb	0.03	< 1.00	S/CO
D-dimer	30.19	< 1.00	μg/mL	Total-cholesterol	209	142-248	mg/dL	HCVAb	0.05	< 1.00	S/CO
FDP	80.1	< 5.0	μg/mL	Triglyceride	129	30-117	mg/dL	β-D Glucan	9.2	< 11.0	pg/mL
				HbA1c	7.8	4.9-6.0	%	CMV-antigen (C7-HRP)	132/82500		cells
				Plasma glucose	246	73-109	mg/dL
				IgG	498	861-1747	mg/dL
				IgM	169	93-393	mg/dL
				IgM	104	50-269	mg/dL

¹Shows the results at JA Suzuka General Hospital.

8 mg-DST: 8 mg dexamethasone suppressive test, RR: Reference range; ACTH: Adrenocorticotropic hormone; CRP: C-reactive protein; FDP: Fibrin degradation products; CMV: Cytomegalovirus; APTT: Activated partial thromboplastin time; LDH: Lactic acid dehydrogenase; ALP: Alkaline phosphatase; AST: Aspartate transaminase; ALT: alanine aminotransferase PT: Prothrombin time; -GTP: -glutamyl transferase; T-Bil: Total bilirubin; CEA: Carcinoembryonic antigen; HbA1c: Hemoglobin A1c.