Case Report
An Unusual Coexistence of Primary Central Nervous System Non-Hodgkin’s Lymphoma and Acute Promyelocytic Leukemia
Table 1
Laboratory values in the main time-points from hospital admission to PNCSL diagnosis.
| | Admission 1 Sep 2014 | 7 Sep 2014 | 15 Sep 2014 | 1 Oct 2014 | APL diagnosis and start of ATO-ATRA + prednisone 4 Oct 2014 | After 7 days of ATO-ATRA + prednisone 11 Oct 2014 | After 15 days of ATO-ATRA + prednisone 20 Oct 2014 | At the end of ATO-ATRA induction + prednisone 31 Oct 2014 | At PNCSL diagnosis 14 Nov 2014 |
| Hb (g/dl) | 13.5 | 13 | 13 | 13.3 | 13.4 | 10 | 8.8 | 10.1 | 12.6 | WBC count (×109/L) | 9 | 9.5 | 15 | 10 | 20 | 20.9 | 5.7 | 3.2 | 8.8 | ANC (×109/L) | 2.4 | 2.5 | 4.5 | 2.5 | 2.5 | 17.5 | 3.4 | 1.4 | 5.8 | Blast cells (%) | 0 | 10 | 60 | 64 | 70 | 11 | 12 | 0 | 0 | Platelets (×109/L) | 120 | 90 | 24 | 15 | 47 | 47 | 24 | 361 | 429 | GOT (U/L) | 20 | 19 | 19 | 17 | 15 | 64 | 49 | 35 | 16 | GPT (U/L) | 30 | 32 | 29 | 29 | 30 | 125 | 129 | 63 | 15 | Creatinine (mg/dl) | 0.9 | 0.9 | 0.9 | 0.9 | 0.9 | 0.7 | 0.6 | 0.5 | 0.6 | Fibrinogen (mg/dl) | 237 | 240 | 250 | 237 | 275 | 207 | 214 | 289 | 536 | D-dimer (μg/ml) | 698 | 690 | 2430 | 2400 | 9903 | 707 | 862 | 641 | 492 | LDH (U/L) | 240 | 230 | 300 | 309 | 304 | 448 | 227 | 186 | 195 | PT (ratio) | 1.06 | 1.07 | 1.05 | 1.07 | 1.13 | 0.95 | 0.92 | 1.01 | 1.03 | aPTT (ratio) | 0.87 | 0.89 | 0.85 | 0.88 | 0.91 | 0.78 | 0.78 | 0.9 | 1.07 |
|
|
Hb: hemoglobin (normal values 13.5–17.5 g/dl); WBC: white blood cell (normal values 4.8–10.8 × 109/L); ANC: absolute neutrophil count (normal values 1.5–6.5 × 109/L); GOT: aspartate transaminase (normal values 5–38 U/L); GPT: alanine aminotransferase (normal values 5–41 U/L); creatinine normal values 0.5–1.2 mg/dl; fibrinogen normal values 165–350 mg/dl; D-dimer normal values 0–230 μg/ml; LDH: lactate dehydrogenase (normal values 135–225 U/L); PT: prothrombin time (normal values 0.88–1.21 sec); aPTT: partial thromboplastin time (normal values 0.85–1.18 sec).
|