Document Detail


Discordant pregnancy tests in detection of alpha-subunit--producing tumors.
MedLine Citation:
PMID:  6185896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ectopic production of isolated alpha-subunit of glycoprotein hormones was detected in a 32-year-old Japanese woman with metastatic lung tumor by a discordance in the immunologic pregnancy tests for native human chorionic gonadotropin (hCG) assays. Quantitative discrepancy of titrations among different types of pregnancy tests, ie, competitive (hemagglutination or latexagglutination inhibition) and noncompetitive (hemagglutination or latexagglutination) reactions, was also confirmed experimentally using a highly purified ectopic alpha-subunit from the patient's urine. Thus the discrepancy between the 2 types of assay systems was due, at least partly, to a cross-reaction of high concentrations (20,000 ng/ml) of ectopically secreted free alpha-subunit of glycoprotein hormones.
Authors:
N Morimoto; M Ozawa; R Nishimura; T Hamamoto; S Tojo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  61     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1983 Mar 
Date Detail:
Created Date:  1983-03-24     Completed Date:  1983-03-24     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  379-83     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Amenorrhea / metabolism
Chorionic Gonadotropin / urine
Cross Reactions
False Positive Reactions
Female
Glycoprotein Hormones, alpha Subunit
Glycoproteins / analysis,  secretion*
Hemagglutination Inhibition Tests
Hormones, Ectopic / secretion*
Humans
Latex Fixation Tests
Lung Neoplasms / secondary*,  secretion
Peptide Fragments / analysis,  secretion*
Pregnancy Tests*
Pregnancy Tests, Immunologic
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Glycoprotein Hormones, alpha Subunit; 0/Glycoproteins; 0/Hormones, Ectopic; 0/Peptide Fragments

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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