Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 12, Number 2, April 2019, pages 96-99

Thrombocytosis as a Rare Paraneoplastic Syndrome Occurring in Hepatocellular Carcinoma: A Case Report

Figures

Figure 1.
Figure 1. CT of the abdomen and pelvis reveals hepatomegaly with numerous hypodensities suspicious for HCC.
Figure 2.
Figure 2. MRI of the abdomen and pelvis reveals abnormal T1 low appearance of the anterior segment of the right hepatic lobe and left hepatic lobe, and heterogeneous appearance of the right hepatic lobe with several hypointense foci on T1-weighted series.

Table

Table 1. Initial Laboratory Workup
 
ParameterInitial Laboratory resultsReference range
Hemoglobin (g/dL)12.212 - 16
Hematocrit (%)36.242 - 51
Platelet count (k/µL)754150 - 400
White blood cell count (k/µL)12.44.8 - 10.8
Sodium (mEq/L)128135 - 145
Potassium (mEq/L)4.93.5 - 5.0
Bicarbonate (mEq/L)2324 - 30
Chloride (mEq/L)9298 - 108
Calcium (mEq/L)8.28.5 - 10.5
Glucose (mg/dL)9670 - 120
Alpha fetoprotein (AFP) ng/mL79,102< 10
Blood urea nitrogen (mg/dL)106 - 20
Creatinine (mg/dL)0.50.5 - 1.5
Total protein (g/dL)10.36 - 8.5
Albumin (g/dL)2.63.2 - 4.8
Alanine transaminase (U/L)935 - 40
Aspartate transaminase (U/L)8719 - 48
Alkaline phosphatase (U/L)29653 - 141
Total bilirubin (mg/dL)4.30.2 - 1.2
Direct bilirubin (mg/dL)2.80.2 - 1.2
Lipase (U/L)76< 61
Thrombopoietin1267 - 99