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Review
. 2014 Apr;36(3):e202-6.
doi: 10.1097/MPH.0000000000000037.

Ectopic production of β-hCG by osteosarcoma: a case report and review of the literature

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Review

Ectopic production of β-hCG by osteosarcoma: a case report and review of the literature

Benjamin R Oshrine et al. J Pediatr Hematol Oncol. 2014 Apr.

Abstract

Ectopic production of β-human chorionic gonadotropin (β-hCG) by nontrophoblastic tumors has been reported but mostly in carcinomas. We report a case of an adolescent female patient with a epithelioid osteosarcoma that was discovered to secrete β-hCG after routine pregnancy testing. Immunohistochemical staining of her primary tumor biopsy demonstrated immunoreactivity for β-hCG. Levels of serum β-hCG were monitored throughout her therapy and demonstrated normalization with effective systemic therapy and local control. She remains disease free 6 months off therapy, with undetectable hormone levels. A review of the available literature on β-hCG production by sarcomas is also presented.

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