Table 1. Laboratory tests performed during treatment.
| Test | 03 December 2013 | 07 July 2014 | 17 November 2014 | 14 July 2015 |
|---|---|---|---|---|
| Seric cortisol (6.7 a 22.6 µg/dL) |
48 | 13.8 | 25.8 | 10.8 |
| Urinary cortisol (50 a 310 µg/24h) |
6519 | 3360 | ||
| ACTH ( < 46 pg/mL) |
190 | 17 | 195.6 | 1992.0 |
| Seric glucose (70 a 100 mg/dL) |
289 | 185 | 206 | 263.0 |
| Glycated hemoglobina (4.1 a 6.0 %) |
10.6 | 8.8 | 7.9 | 10.1 |
The first column shows the elevation of serum and urinary cortisol levels and serum ACTH levels at diagnosis, as well as values confirming a decompensated type-2 diabetes mellitus. The second column shows improvement in hormonal and glycaemic levels after debulking surgery of the pancreas and liver. The third and fourth column shows the values when we evidenced disease progression to the liver in two different moments of his treatment.