313 Elevated Serum Human Chorionic Gonadotropin and Its Subunits Levels in Severe Preeclampsia

1993 ◽  
Vol 168 (1) ◽  
pp. 384
1994 ◽  
Vol 170 (4) ◽  
pp. 1135-1138 ◽  
Author(s):  
Chaur-Dong Hsu ◽  
Daniel W. Chan ◽  
Brian Iriye ◽  
Timothy R.B. Johnson ◽  
Shih-Fen Hong ◽  
...  

2007 ◽  
Vol 62 (10) ◽  
pp. 675-679 ◽  
Author(s):  
Ezgi Demirtas ◽  
Srinivasan Krishnamurthy ◽  
Togas Tulandi

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Bernd C. Schmid ◽  
Aimee Reilly ◽  
Martin K. Oehler

Human chorionic gonadotropin (hCG) is useful in evaluating and monitoring early pregnancy as well as trophoblastic disease. Here we describe the management of women with elevated serum human chorionic gonadotropin in a case of a 51-year-old female who was unsuccessfully treated for ectopic pregnancy. She was subsequently diagnosed with pituitary hCG production, which should be considered as differential diagnosis before treatment is initiated.


1998 ◽  
Vol 5 (1) ◽  
pp. E8 ◽  
Author(s):  
Tsutomu Kato ◽  
Yutaka Sawamura ◽  
Mitsuhiro Tada ◽  
Jun-ichi Murata ◽  
Hiroshi Abe ◽  
...  

Although neurohypophyseal germinoma is known be a common initial symptom in cases of diabetes insipidus (DI), its radiological detection may take months or years even by a high-resolution magnetic resonance (MR) imaging. The term “occult neurohypophyseal germinoma” denotes such cases, but its clinical picture remains obscure. Of seven patients with neurohypophyseal germinoma presenting with DI during the last 5 years, three patients showed no evidence of tumor at the onset of DI and were treated as “idiopathic” DI. Neurohypophyseal germinoma was eventually diagnosed in these three patients as the tumor became evident on sequential MR imaging studies and the patients were successfully treated with chemotherapy and radiation therapy. To delineate the clinical features of the occult neurohypophyseal germinoma, the authors analyzed endocrinological aspects and MR images in these patients and compared them with those in two patients with true idiopathic DI and four patients with overt neurohypophyseal germinoma and DI. Nine previously reported cases in the literature were reviewed. During the stage at which the germinoma gave no notable change on MR images, patients often displayed anterior pituitary dysfunction, particularly growth hormone (GH) deficiency, or an elevation of serum or cerebrospinal fluid human chorionic gonadotropin-beta. Preceding the appearance of an obvious tumor mass, a slight swelling of the pituitary stalk with loss of normal hyperintensity of the posterior pituitary lobe was a common finding on MR imaging. Central DI associated either with an enlarged stalk, decreased GH secretion, or an elevated serum human chorionic gonadotropin-beta should prompt the diagnosis of an occult germinoma.


Endocrinology ◽  
2002 ◽  
Vol 143 (10) ◽  
pp. 4096-4103 ◽  
Author(s):  
Tuula Hämäläinen ◽  
Jukka Kero ◽  
Matti Poutanen ◽  
Ilpo Huhtaniemi

Abstract In vivo regulation of the LH receptor (LHR) promoter was studied using transgenic (TG) mice harboring fusion genes containing three different lengths of the LHR promoter (7.4 kb, 2.1 kb, and 173 bp), fused with coding sequence of the Escherichia coli β-galactosidase (β-GAL) reporter gene. The length of the LHR promoter significantly affected the pattern of β-GAL expression. In the testis the shortest promoter directed expression primarily of the full-length β-GAL mRNA, but mainly truncated messages were transcribed from the longer LHR promoter/β-GAL constructs. The case was reversed in the ovary and adrenal gland. Furthermore, we have recently detected strong LHR expression in the adrenal gland of female mice with chronically elevated serum LH. Therefore, the regulation of the adrenal LHR expression was addressed in the present study using the LHR/β-GAL TG mice. Elevated LH levels were achieved in the LHR/β-GAL mice either by gonadectomy or cross-breeding them with TG mice overexpressing a chimeric protein of bovine LH β-subunit and the C-terminal fragment of human chorionic gonadotropin-β. In both models, β-GAL mRNA was found in the adrenal cortex when the 7.4-kb LHR promoter was applied but not in mice carrying the 173-bp LHR promoter. The 7.4-kb construct was activated also in the ovaries in the double TG LHR(β-GAL)/bovine LH β-subunit/C-terminal fragment of human chorionic gonadotropin-βmice in some theca-interstitial cells surrounding the follicles. Hence, the LHR promoter elements essential for directing β-GAL expression to the adrenal gland and ovary (7.4 kb) are different from those recently shown to be essential for the testicular expression (173 bp). In conclusion, elevated serum LH concentrations were found seminal for the LHR promoter activation in the ovaries and adrenals, and different lengths of the promoter are responsible for reporter gene expression in the testis, ovary, and adrenal gland.


Rare Tumors ◽  
2018 ◽  
Vol 10 ◽  
pp. 203636131878972
Author(s):  
Alan Todd Blank ◽  
Mazdak Khalighi ◽  
R Lor Randall ◽  
Kevin B Jones

Soft tissue sarcomas are a rare group of mesenchymal malignancies which can range from low to high grade. These tumors have different clinical, radiographic, and histopathological characteristics. Beta human chorionic gonadotropin is a naturally secreted hormone by placental syncytiotrophoblast cells during pregnancy. On very rare occasions, sarcomas can develop the ability to ectopically produce human chorionic gonadotropin. Very few cases exist in the literature of soft tissue sarcomas expressing this hormone. We report the case of a 55-year-old female who presented with a posterior thigh soft tissue sarcoma who on the day of surgical resection was found to have an unusually elevated serum human chorionic gonadotropin. Positive immunohistochemical staining of the resected mass confirmed the sarcoma as the source of the beta human chorionic gonadotropin.


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