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 ADOI: 10.12659/AJCR.929678
Am J Case Rep 2021; 22:e929678
Table 1. Laboratory findings on admission.
Parameter | Value | Reference range | Parameter | Value | Reference range |
---|---|---|---|---|---|
WBC (×10/L) | 9.3 | 3.9–9.8 | K (mmol/L) | 4.6 | 3.6–4.9 |
RBC (×10/L) | 4.71 | 4.10–5.30 | Cl (mmol/L) | 100 | 99–109 |
Hb (g/L) | 142 | 135–176 | CRP (mg/L) | 65.6 | 0.0–3.0 |
Ht (L) | 0.411 | 0.360–0.480 | HBs antigen | – | – |
Plt (×10/L) | 167 | 86–123 | HCV antibody | – | – |
AST (IU/L) | 24 | 10–35 | PT (%) | 71.7 | 70.0–130.0 |
ALT (IU/L) | 36 | 5–40 | APTT (seconds) | 33.5 | 25.0–40.0 |
LDH (IU/L) | 205 | 120–230 | Fib (mg/dL) | 778 | 200–400 |
ALP (IU/L) | 574 | 110–360 | D-dimer (μg/L) | 6 990 | 0–1 000 |
γ-GTP (IU/L) | 89 | 10–50 | AT-III (%) | 97.3 | 80.0–130.0 |
ChE (IU/L) | 231 | 180–430 | PIC (μg/mL) | 2.56 | 0.00–0.80 |
T-bil (μmol/L) | 10 | 3–17 | TAT (ng/mL) | 3.8 | |
TP (g/L) | 78 | 67–83 | Protein S (%) | 105 | 65–135 |
Alb (g/L) | 33 | 38–50 | Protein C (%) | 79.1 | 75.0–125.0 |
BUN (mmol/L) | 6.9 | 2.9–7.1 | Lupus anticoagulant | ± | – |
Cre (μmol/L) | 74 | 52–97 | RF (IU/mL) | 23 | 0–15 |
UA (μmol/L) | 250 | 208–416 | ANA | ||
Amy (IU/L) | 50 | 40–130 | Anti-cardiolipin antibody IgG (IU/mL) | 2 | |
T-Cho (mmol/L) | 5.1 | 3.4–5.7 | Anti-CLb2GP1 antibody (IU/mL) | ||
Glu (mmol/L) | 11.3 | 3.9–6.1 | CEA (ng/mL) | 4.6 | 0.0–5.0 |
Na (mmol/L) | 136 | 138–146 | CA19-9 (IU/mL) | 7 | 0–37 |
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. |