Case Report

An Uncommon Presentation of Adrenal Cyst with Subclinical Cushing’s Syndrome: A Diagnosis Dilemma

Table 2

Comparative table of laboratory data before and after surgery.

VariableBefore surgery3 months after surgery

Midnight cortisol (ug/dL)
Normal: < 1.8
5.2–4.21–1.7
u-free cortisol (μg/day)
normal: 4.3–176
36-42-3.2523-13-9
Plasma ACTH (ng/L) 8 AM
Normal: 10.30–48.30
10.728.5
Cortisol plasma after 1 mg DST (ug/dL)
Normal <1.8
2.70.7
Plasma glucose at 120 min in 75 g OGTT (mg/dL)
Normal <1.40
1.781.10

ACTH: adrenocorticotropic hormone; DST: overnight dexamethasone suppression test; DHEA-S: dehydroepiandrosterone sulfate; OGTT: oral glucose tolerance test. In plasma examination, values of two different days are shown to view day-to-day variation. In urine examination, values of three different days are shown to view day-to-day variation.