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Table 2 Endocrinological examination

From: Aldosterone-producing adrenocortical carcinoma with prominent hepatic metastasis diagnosed by liver biopsy: a case report

  

Normal range

Hormonal profile

  

 Serum ACTH (pg/ml)

< 2.1

7.2–63.3

 Serum cortisol (μg/dl)

27.7

4.0–18.3

 Plasma renin activity (ng/ml/hr)

0.3

0.3–2.9

 Plasma aldosterone concentration (pg/ml)

2040

140–1030

 Serum DHEA-S (μg/dl)

294

12–133

 Serum 11-OHCS (μg/dl)

566.0

7.0–23.0

 Urinary free cortisol (μg/24 hr)

477.0

11.2–80.3

 Urinary free aldosterone (μg/24 hr)

230.0

< 10

Diurnal variation of plasma ACTH, cortisol levels

 

9:00

16:00

23:00

 Serum ACTH (pg/ml)

< 2.1

< 2.1

< 2.1

 Serum cortisol (μg/dl)

43.6

47.7

42.6

Dexamethasone suppression test

1 mg

8 mg

 Serum ACTH (pg/ml)

< 2.1

< 2.1

 Serum cortisol (μg/dl)

36.0

39.1