Case Report

Feminizing Adrenal Carcinoma Presenting with Heart Failure and Ventricular Tachycardia

Table 2

Hormonal evaluation.

Pre-operationImmediately postoperationAt 15-month followupReference Range

ACTH (pg/mL)<57–50
AM cortisol (μg/dL)27.7
Cortisol after overnight 1 mg dexamethasone suppression (μg/dL)23.6<1.8
Androstenedione (ng/dL)37550–220
DHEA-S (μg/dL)7263925–240
Plasma metanephrine (pg/mL)<25≤57
Plasma normetanephrine (pg/mL)<25≤148
Total metanephrines (pg/mL)<50≤205
Aldosterone (ng/dL)<1≤28 (upright 8 am–10 am)
Plasma renin activity (ng/mL/hr)2.80.65–5.0 (upright)
Estradiol (pg/mL)3853<3025.2<52 (males)
24 hr urine free cortisol (mcg/24 hrs)56.7Not measuredNot measured4.0–50.0
24 hr urine volume (mL)2080