Case Report
A Rare Case of Primary Bilateral Adrenal Lymphoma
Table 1
Initial blood test results.
| Test | Results | Unit | Reference interval |
| White blood cells | 6.45 | ×109/L | 3.40–9.60 | Red blood cells | 3.87 | ×1012/L | 3.70–9.60 | Haemoglobin | 9.8 | g/dL | 10.9–15.1 | Mean Cell Volume | 75.2 | fL | 80.0–95.0 | Mean corpuscular haemoglobin | 25.3 | pg | 27.0–33.0 | Mean corpuscular haemoglobin concentration | 33.7 | g/dL | 32.0–36.0 | Haematocrit | 29.1 | % | 32.7–44.4 | Platelets | 150 | ×109/L | 132–372 | Mean platelet volume | 9.3 | fL | 8.7–12.2 | Red cell distribution width | 18.2 | % | 11.4–14.8 | Sodium | 137 | mmol/L | 135–145 | Potassium | 4.4 | mmol/L | 3.5–5.0 | Chloride | 101 | mmol/L | 95–110 | Carbon dioxide | 22 | mmol/L | 22–31 | Creatinine | 66 | umol/L | 50–90 | Urea | 4.9 | mmol/L | 2.0–6.5 | Glucose | 7.2 | mmol/L | 4.0–7.8 | Albumin | 34 | g/L | 38–48 | Bilirubin, total | 7 | umol/L | 5–30 | Bilirubin, conjugated | 1 | umol/L | 0–5 | Aspartate aminotransferase | 64 | U/L | 10–50 | Alanine aminotransferase | 48 | U/L | 10–70 | Alkaline Phosphatase | 162 | U/L | 40–130 | Lactate dehydrogenase | 2140 | U/L | 250–580 | Calcium, total | 2.22 | mmol/L | 2.15–2.55 | C-reactive protein | 65 | mg/L | 0–10 | Iron | 3.3 | umol/L | 8.8–27.0 | Ferritin | 1249 | ug/L | 10–120 | Transferrin | 201 | mg/dL | 200–360 | Total iron binding capacity | 52 | umol/L | 52–94 | Iron saturation | 6 | % | 15–50 | Thyroxine, free | 12.9 | pmol/L | 8.0–20.0 | Thyroid stimulating hormone | 1.59 | mIU/L | 0.45–4.5 | Early morning cortisol | 242 | nmol/L | 123–623 | Adrenocorticotropic hormone (ACTH) | 3.1 | pmol/L | 0.0–10.2 | Synacthen test | | | | Cortisol at 0 min | 150 | nmol/L | | Cortisol at 30 min | 191 | nmol/L | | Cortisol at 60 min | 209 | nmol/L | |
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