A Rare Case of Primary Adrenal Epithelioid Angiosarcoma

29 May 2023 : Case report Thailand

Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Komson Wannasai

^1ABCDEFG*, Puwitch Charoenchue

^2BDF, Sunhawit Junrungsee^3B, Chanakrit Boonplod

^4BEF, Kornkanok Sukpan^1D

DOI: 10.12659/AJCR.939397

Am J Case Rep 2023; 24:e939397

Table 1. Preoperative laboratory investigation.

Parameter	Value	Reference range

Hemoglobin	15.6 g/dL	13.0–18.0 g/dL
Hematocrit	48.6%	36.0–48.0%
White blood cells	9550 cells/µL	5000–10 000 cells/µL
Neutrophils	49.0%	40.0–74.0%
Eosinophils	9.4%	0.0–7.0%
Basophils	0.7%	0.0–2.0%
Lymphocytes	35.0%	19.0–48.0%
Monocytes	5.0%	3.0–9.0%
Platelets	264 000 cells/µL	14 0000–450 000 cells/µL
MCV	82.8 fL	80.0–99.0 fL
MCH	26.6 pg	27.0–31.0 pg
MCHC	32.1 g/dL	31.0–35.0 g/dL
RDW	11.7%	11.5–14.4%

PT	10.70 s	9.50–13.00 s
INR	0.93
aPTT	33.10 s	28.10–38.90 s

Glucose	150 mg/dL	0.00–1.20 mg/dL
Serum cortisol	7.27 mg/dL	£0.30 mg/dL
BUN	26 mg/dL	6–20 mg/dL
Creatinine	1.99 mg/dL	0.97–1.77 mg/dL
Na	142 mmol/L	136–145 mmol/L
K	4.5 mmol/L	3.4–4.5 mmol/L
Cl	109 mmol/L	98–107 mmol/L
Total CO	22 mmol/L	22–29 mmol/L
Ca	9.5 mg/dL	8.6–10.2 mg/dL
P	4.4 mg/dL	2.5–4.5 mg/dL
Mg	1.70 mEq/L	1.32–2.14 mg/dL
Metanephrine in urine	74.91 mg/day
MCV – mean corpuscular volume; MCH – mean corpuscular hemoglobin; MCHC – mean corpuscular hemoglobin concentration; RDW – red cell distribution width; PT – prothrombin time; INR – international normalized ratio; aPTT – activated partial thromboplastin time; BUN – blood urea nitrogen; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; P – phosphate; Mg – magnesium.