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Table 1 Laboratory results of presenting patient

From: Primary malignant lymphoma combined with clinically “silent” pheochromocytoma in the same adrenal gland

Disease

Androstendione

DHEA-S

Cortisol urinary excretion

Cortisol 8.00 a.m./8.00 p.m.

ACTH 8.00/20.00

VMA/metanephrine daily urinary excretion

ESR

CRP

LDH

Basal

4.58

33.7

140

332/133

13/<10

10.2/395

74

48

240

Progression

149/–

102/–

–/254

98

57

  1. Normal ranges: serum LDH, 105–240 IU/L; serum androstendione, 0.3–3.5 ng/mL; serum DHEA-S, 34–430 μg/dL; 24-h cortisol urinary excretion, 12–486 nmol/24h; serum cortisol: 8.00 a.m. 101–536 nmol/dL; plasma ACTH, 15–46 pg/mL; 24-h metanephrines excretion, <350 μg/24h; 24-h vanillylmandelic acid (VMA) excretion, 4–8 mg/24h; serum erythrocyte sedimentation rate (ERS), 0–20 mm/h; serum C-reactive protein (CRP), 0–6 mg/L