Adrenal incidentaloma: a case of carcinoma

Figures & data

Table 1 Biochemical evaluation

		NV
RBC	4.2 × 10^6/mm^3	4.15–4.9 × 10^6/mm^3
MCH	30 pg/cell	28–33 pg/cell
MCHC	34 g/dL	32–36 g/dL
MCV	88 μm^3	86–98 μm^3
HCT	44%	42%–52%
Hemoglobin	15 g/dL	13–18 g/dL
WBC	4.5 × 10^3/mm^3	4.3–10.8 × 10^3/mm^3
N	50%	45%–75%
L	20%	16%–45%
M	5%	4%–10%
E	2%	0%–7%
B	1%	0%–2%
Albumin	50%	50%–60%
α1-globulins	5%	4.2%–7.2%
α2-globulins	8.2%	6–7.8%
β-globulins	11%	9.3%–15%
γ-globulins	15%	13%–23%
AST	20 U/L	0–35 U/L
ALT	24 U/L	0–35 U/L
Total bilirubin	1 mg/dL	0.3–1.0 mg/dL
Direct	0.3 mg/dL	0.1–0.3 mg/dL
Indirect	0.7 mg/dL	0.2–0.7 mg/dL
Glycemia	110 mg/dL	70–115 mg/dL
Cholesterol	220 mg/dL	220–239 mg/dL
LDL	110 mg/dL	<130 mg/dL
HDL	60 mg/dL	>50 mg/dL
Iron	80 μg/d	50–150 μg/d
Creatinine	1 mg/dL	0.8–1.2 mg/dL
BUN	15 mg/dL	10–20 mg/dL
Uric acid	6 mg/dL	2.5–8.0 mg/dL
Fibrinogen	697 mg/dL	200–450 mg/dL
Sodium	140 mEq/L	135–145 mEq/L
Potassium	4 mEq/L	3.5–5.0 mEq/L
Calcium	9 mg/dL	9–10.5 mg/dL
LDH	758 U/L	100–190 U/L

Abbreviations: RBC, red blood cells; MCH, mean corpuscolar hemoglobin; MCHC, mean corpuscolar hemoglobin concentration; MCV, mean corpuscolar volume; HCT, hematocrit; WBC, white blood cells; N, neutrophils; L, lymphocytes; M, monocytes; e, eosinophils; B, basophils; AST, aspartate tranaminase; ALT, alanine transaminase; LDL, low density lipoproteins; HDL, high density lipoproteins; BUN, blood urea nitrogen; LDH, lactate dehydrogenase; NV, normal values.

Table 2 Endocrine work-up

		NV
Cortisol	164.3 ng/mL	50–250 ng/mL
Renin	2 ng/mL/h	0.3–3.0 ng/ml/h
Aldosteron	10 μg/dL	5–19 μg/dL
ACTH	16 pg/mL	0–46 pg/mL
Epinephrine	35 μg/d	<50 μg/d
Norepinephrine	60 μg/dL	15–80 μg/dL
Overnight dexamethasone suppressor test	3 μg/dL	<5 μg/dL

Abbreviations: ACTH, adrenocorticotropic hormone (corticotropin); NV, normal values.

Figure 1 Abdominal computed tomography shows a 10-cm right adrenal lesion.

Figure 2 Abdominal computed tomography shows a 10-cm right adrenal lesion.