title: Lactate levels with glioblastoma multiforme.
abstract: A 37-year-old woman with known glioblastoma multiforme was admitted for treatment of new deep vein thrombosis. Anion gap and plasma lactate levels were found to be elevated. Magnetic resonance imaging of the brain showed a stable, advanced glioblastoma multiforme. All causes of lactic acidosis, including infections and medications, were ruled out. Aggressive tumors have been shown to produce lactate levels in minute quantities in their microenvironment, which helps them metastasize and evade immune response and even radiation.
authors.affiliation: Departments of Medicine (A. S. Kahlon, Alexander, A. Kahlon) and Hematology/Oncology (Wright), State University New York-Upstate Medical University, Syracuse, New York.
authors.forename: Arunpreet Singh
authors.initials: AS
authors.lastname: Kahlon
authors.affiliation: Departments of Medicine (A. S. Kahlon, Alexander, A. Kahlon) and Hematology/Oncology (Wright), State University New York-Upstate Medical University, Syracuse, New York.
authors.forename: Mariam
authors.initials: M
authors.lastname: Alexander
authors.affiliation: Departments of Medicine (A. S. Kahlon, Alexander, A. Kahlon) and Hematology/Oncology (Wright), State University New York-Upstate Medical University, Syracuse, New York.
authors.forename: Arundeep
authors.initials: A
authors.lastname: Kahlon
authors.affiliation: Departments of Medicine (A. S. Kahlon, Alexander, A. Kahlon) and Hematology/Oncology (Wright), State University New York-Upstate Medical University, Syracuse, New York.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Wright