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26 March 2021: Articles

Metastatic Infiltration of Anaplastic Carcinoma of the Pancreas Into the Portal Venous System: A Masquerading Cause of Expansive Portal Venous Thrombosis

Challenging differential diagnosis

Yuka Hirakawa A , Masaki Tago A* , Naoko E. Katsuki A , Seijiro Makio A , Shu-ichi Yamashita A

DOI: 10.12659/AJCR.929678

Am J Case Rep 2021; 22:e929678

Table 1. Laboratory findings on admission.

ParameterValueReference rangeParameterValueReference range
WBC (×10/L)9.33.9–9.8K (mmol/L)4.63.6–4.9
RBC (×10/L)4.714.10–5.30Cl (mmol/L)10099–109
Hb (g/L)142135–176CRP (mg/L)65.60.0–3.0
Ht (L)0.4110.360–0.480HBs antigen
Plt (×10/L)16786–123HCV antibody
AST (IU/L)2410–35PT (%)71.770.0–130.0
ALT (IU/L)365–40APTT (seconds)33.525.0–40.0
LDH (IU/L)205120–230Fib (mg/dL)778200–400
ALP (IU/L)574110–360D-dimer (μg/L)6 9900–1 000
γ-GTP (IU/L)8910–50AT-III (%)97.380.0–130.0
ChE (IU/L)231180–430PIC (μg/mL)2.560.00–0.80
T-bil (μmol/L)103–17TAT (ng/mL)3.8
TP (g/L)7867–83Protein S (%)10565–135
Alb (g/L)3338–50Protein C (%)79.175.0–125.0
BUN (mmol/L)6.92.9–7.1Lupus anticoagulant±
Cre (μmol/L)7452–97RF (IU/mL)230–15
UA (μmol/L)250208–416ANA
Amy (IU/L)5040–130Anti-cardiolipin antibody IgG (IU/mL)2
T-Cho (mmol/L)5.13.4–5.7Anti-CLb2GP1 antibody (IU/mL)
Glu (mmol/L)11.33.9–6.1CEA (ng/mL)4.60.0–5.0
Na (mmol/L)136138–146CA19-9 (IU/mL)70–37
WBC – white blood cells; RBC – red blood cells; Hb – hemoglobin; Ht – hematocrit; Plt – platelets; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; ALP – alkaline phosphatase; γ-GTP – γ-glutamyl transferase; ChE – cholinesterase; T-bil – total bilirubin; TP – total protein; Alb – albumin; BUN – blood urea nitrogen; Cre – creatinine; UA – uric acid; Amy – amylase; T-cho – total cholesterol; Glu – glucose; Na – sodium; K – potassium; Cl – chloride; CRP – C-reactive protein; HBs antigen – hepatitis B surface antigen; HCV antibody – hepatitis C antibody; PT – prothrombin time; APTT – activated partial thromboplastin time; Fib – fibrinogen; AT-III – antithrombin III; PIC – plasmin-α2-plasmin inhibitor complex; TAT – thrombinantithrombin complex; RF – rheumatoid factor; ANA – antinuclear antibody; IgG – immunoglobulin G; CEA – carcinoembryonic antigen; CA19-9 – carcinoembryonic antigen 19-9.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923