A Rare Case of Primary Bilateral Adrenal Lymphoma

Table 1

Initial blood test results.

Test	Results	Unit	Reference; interval
White blood cells	6.45	×10^9/L	3.40–9.60
Red blood cells	3.87	×10^12/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	×10^9/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