Case Report

An Adrenocortical Carcinoma Associated with Non-Islet Cell Tumor Hypoglycemia and Aberrant ACTH Production

Table 4

Hormone profile performed at the tertiary care hospital.

TestResultReference range

Random cortisol (9am)>1000 nmol/L138–635 nmol/L
Serum ACTH (9am)40.3 pg/ml7–50 pg/ml
ODST748.5 nmol/l<50 nmol/L
LDDST668 nmol/L<50 nmol/L
Total testosterone595 ng/dl300–1000 ng/dL
Androstenedione>10 ng/ml0.7–3.6 ng/ml
DHEAS>40.71 μmol/l3.8–13.1 μmol/l
24 hr urinary VMA8.5 mg/24h1–11 mg/24 h
24 hr urinary fractionated metanephrine0.17 mg/24 hours<1 mg/24 hours