[Are chorionic gonadotropin (HCG) and its alpha and beta subunits useful markers in non-trophoblastic tumors?]

Ann Endocrinol (Paris). 1984;45(4-5):235-41.
[Article in French]

Abstract

HCG and its subunits alpha and beta are produced by trophoblastic cancers constituting an index of early detection and monitoring for these tumors. Unlike HCG-alpha, we can obtain specific HCG and HCG-beta assays with LH-neutralized antiserum. Many normal non-trophoblastic tissues exhibit a HCG-like immunoreactivity. All choriocarcinomatous testicular tumors produce HCG and HCG-beta. Half of all testicular teratomas produce HCG and its subunits while a third of all seminomas exhibit an HCG-like immunoreactivity, whether choriocarcinomatous component is present or not. Serum HCG levels are elevated in seminomas (5 to 22%) as well as teratomas '55 to 89%). Less than 15% of breast, digestive and lung cancers have increased serum levels of HCG and/or its 2 subunits. HCG is most often produced by undifferentiated lung cancers, hepatoblastomas and adrenal carcinomas. There is usually a parallel relation between these serum levels and the clinical evolution of the disease under chemotherapy. In breast cancer, these levels do not constitue a "prognosis index". HCG production by non-trophoblastic tumors can induce clinical symptoms such as precocious puberty and gynecomastia.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Breast Neoplasms / metabolism
  • Chorionic Gonadotropin / analysis*
  • Chorionic Gonadotropin / blood
  • Chorionic Gonadotropin, beta Subunit, Human
  • Female
  • Gastrointestinal Neoplasms / metabolism
  • Glycoprotein Hormones, alpha Subunit
  • Humans
  • Lung Neoplasms / metabolism
  • Male
  • Neoplasms / analysis
  • Neoplasms / metabolism*
  • Pancreatic Neoplasms / metabolism
  • Peptide Fragments / analysis
  • Testicular Neoplasms / metabolism

Substances

  • Chorionic Gonadotropin
  • Chorionic Gonadotropin, beta Subunit, Human
  • Glycoprotein Hormones, alpha Subunit
  • Peptide Fragments