A Water-Soluble Human Chorionic Gonadotropin-Binding Component Obtained from Leydig Cell Membrane Fractions*

Endocrinology ◽  
1978 ◽  
Vol 102 (3) ◽  
pp. 814-823 ◽  
Author(s):  
VOLKER G. PAHNKE ◽  
FREIMUT A. LEIDENBERGER
Author(s):  
S. L. Asa ◽  
T. A. Bayley ◽  
E. Horvath ◽  
K. Kovacs

Leydig cell clusters in the adult human testis are known to enlarge during chronic stimulation with excess LH as in Klinefelter's syndrome or following administration of exogenous human chorionic gonadotropin (hCG). However, the ultrastructural features of this hyperplasia, to our knowledge, have not been reported in association with testicular neoplasms producing hCG.We report the case of a 21-year-old man who sought medical attention because of gynecomastia. Laboratory investigation revealed a marked increase in serum hCG and elevated a-fetoprotein. A testicular mass was palpable on examination and the patient underwent orchiectomy.


1979 ◽  
Vol 49 (1) ◽  
pp. 12-14 ◽  
Author(s):  
ANTHONY G. H. SMALS ◽  
GERLAG F. F. M. PIETERS ◽  
JULES HIRSCH ◽  
JAN I. M. DRAYER ◽  
THEO J. BENRAAD ◽  
...  

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Majed Faden ◽  
Amir H. Salehi ◽  
Jeannine Simon ◽  
Moy Fong Chen ◽  
Atilla Omeroglu ◽  
...  

AbstractHyperreactio luteinalis (HL) is characterised by ovarian cystic enlargement that is associated with high levels of human chorionic gonadotropin (hCG). Here the possible effects of abnormally high hCG levels on foetal development are demonstrated.We report a 28-year-old patient who was referred for evaluation of bilateral maternal ovarian enlargement in the second trimester. Abnormally elevated hCG (887,514 IU/L) was found with ultrasound examination identifying various foetal malformations. The karyotype was normal. Spontaneous abortion occurred at 20 weeks. Autopsy showed testicular hypertrophy with marked Leydig cell hyperplasia. The HL resolved with normalisation of the hCG levels following delivery.HL is a rare finding in normal pregnancies; the potential effects of abnormally elevated hCG on the foetus are discussed.


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