Table 1 Clinical course summary, with pertinent laboratory values and imaging results; several laboratory values were not available owing to presentation at an outside hospital
From: Salivary gland adenoid cystic carcinoma presenting as a large metastatic hepatic mass: a case report
Presentation | Lab values | Mass findings | Treatment | Disposition |
|---|---|---|---|---|
Initial ED visit | AST: 74 units/L ALT: 51 units/L Alk Phos: 93 units/L | 14 cm liver mass | Symptom management | Discharged with outpatient follow-up |
Return ED visit, 1 month after initial visit | Mildly elevated AST and ALT | 19 cm liver mass | Symptom management | Discharged, then lost to follow-up |
Third ED visit, 2 months after initial visit | AST: 93 units/L ALT: 45 units/L Alk Phos: 451 units/L | 21 cm liver mass with bilateral 8 mm pulmonary nodules | Transcatheter arterial chemoembolization (TACE) | Admission |
Readmission 10 weeks after the initial visit | AST: 44 units/L ALT: 24 units/L Alk Phos: 282 units/L | New 6.5 cm right parotid mass | TACE, cisplatin, and vinorelbine | Continued outpatient follow-up |