Table 1 Changes in patients' laboratory examination results
From: A rare case report of renal ewing sarcoma/primitive neuroectodermal tumor with ACTH production
Characteristics | Normal ranges | Sep 5 | Sep 6 | Sep 7 | Sep 8 (8:00 am) | Sep 8 (5:00 pm) | Sep 9 | Sep 10 | Sep 11 | Sep 21 |
|---|---|---|---|---|---|---|---|---|---|---|
Blood routine | ||||||||||
White-cell (109/L) | 3.5–9.5 | 17.15 | 24.1 | 19.87 | 26.74 | 11.36 | 8.89 | 6.69 | 7.41 | |
Red-cell (1012/L) | 3.8–5.1 | 4.75 | 4.61 | 4.25 | 3.24 | 2.84 | 2.85 | 2.59 | 3.39 | |
Hemoglobin (g/L) | 115–150 | 145 | 143 | 130 | 98 | 86 | 85 | 78 | 101 | |
Platelets (109/L) | 125–350 | 197 | 168 | 106 | 137 | 90 | 67 | 58 | 262 | |
Neutrophil count (109/L) | 1.8–6.3 | 16.01 | 22.56 | 19.12 | 25.65 | 10.37 | 7.66 | 5.78 | 5.35 | |
Neutrophil percentage (%) | 40–75 | 93.3 | 93.61 | 96.24 | 95.9 | 91.31 | 86.21 | 86.5 | 72.11 | |
Renal function | ||||||||||
Urea nitrogen (mmol/L) | 2.9–7.2 | 4.6 | 7.6 | 9.9 | 10.6 | 11.3 | 8.9 | 7.2 | 8.2 | |
Creatinine (umol/L) | 53–132 | 52 | 117 | 124 | 146 | 155 | 137 | 116 | 112 | |
Uric acid (umol/L) | 150–360 | 180 | 223 | 239 | 321 | 378 | 296 | 312 | 393 | |
Liver function | ||||||||||
Total protein (g/L) | 66.0–83.0 | 60.5 | 56.2 | 55.2 | 36.2 | 42.3 | 45.8 | 50.2 | 73.9 | |
Albumin (g/L) | 40.0–55.0 | 34.5 | 36.8 | 33.8 | 24.3 | 30.3 | 33 | 34.4 | 47.1 | |
Globulin (g/L) | 20.0–40.0 | 26 | 19.4 | 21.4 | 11.9 | 12 | 22.8 | 15.8 | 26.8 | |
Thyroid hormone | ||||||||||
Triiodothyronine (nmol/L) | 1.23–3.08 | 0.638 | 0.582 | 1.365 | ||||||
Thyroxine (nmol/L) | 65.64–181.47 | 64.37 | 78.99 | 94.287 | ||||||
Free triiodothyronine (pmol/L) | 2.77–7.08 | 1.62 | 1.86 | 4.35 | ||||||
Free thyroxine (pmol/L) | 11.97–21.88 | 10.26 | 14.84 | 18.14 | ||||||
Thyroid stimulating hormone (uIU/mL) | 0.27–4.2 | 0.847 | 3.9 | 2.26 | ||||||
Female hormones | ||||||||||
Follicle stimulating hormone (mIU/mL) | 4.6–8.6 | 4.77 | 6.96 | |||||||
Luteinizing hormone (IU/L) | 1.5–7.0 | 3.75 | 7.64 | |||||||
Estradiol (pg/mL) | 18–63 | 47 | 34 | |||||||
Testosterone (ng/mL) | 0.15–0.51 | 2.13 | 0.24 | |||||||
Prolactin (ng/mL) | 3.5–24.2 | 15.72 | 16.69 | |||||||
Dehydroepiandrosterone sulfate (ug/dL) | 51–321 | > 1000 | 167.2 | |||||||
Sex hormone binding globulin (nmol/L) | 12.6 | 49.2 | ||||||||
Cortisol (ug/dL) | 8.7–22.4 | > 60 | 12.44 | |||||||
Cortisol rhythm | ||||||||||
Cortisol (8 am) (ug/dL) | 4.26–24.85 | 82.255 | 11.495 | 17.762 | ||||||
Cortisol (4 pm) (ug/dL) | 1.9–17.3 | 92.705 | 5.847 | 6.107 | ||||||
Cortisol (12 pm) (ug/dL) | 65.859 | 6.088 | 2.921 | |||||||
ACTH rhythm | ||||||||||
ACTH (8 am) (pg/mL) | 7.2–63.3 | 231.756 | 36.489 | 34.742 | ||||||
ACTH (4 pm) (pg/mL) | 3.6–31.7 | 242.763 | 30.08 | 25.388 | ||||||
ACTH (12 pm) (pg/mL) | 202.883 | 22.947 | 35.454 | |||||||