Noda Y, Simodaira M, Ito H, Gonda H, Okada N, Suzuki M, Kaneko M
Internal Medicine, Toyohashi Municipal Hospital, Aichi, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1990 May;28(5):781-5.
Two cases of human chorionic gonadotropin (HCG)-producing lung carcinoma are reported. Both were male, aged 66 and 65, respectively histological examination of percutaneous lung biopsy revealed large cell carcinoma. The patients both developed bilateral gynecomastia during their clinical course. Endocrine function tests demonstrated high levels of HCG, HCG-beta, luteinizing hormone, estrone, estradiol, progesterone in the blood. They were given only anticancer chemotherapy with no effect and died. Autopsy revealed extensive metastases of lung cancer and the presence of HCG in tumor cells was demonstrated by immunohistochemical technique in both cases.
报告了两例产生人绒毛膜促性腺激素(HCG)的肺癌病例。两例均为男性,分别为66岁和65岁,经皮肺活检组织学检查显示为大细胞癌。两名患者在临床过程中均出现双侧乳腺增生。内分泌功能检查显示血液中HCG、HCG-β、促黄体生成素、雌酮、雌二醇、孕酮水平升高。他们仅接受了抗癌化疗,但无效,最终死亡。尸检显示肺癌广泛转移,免疫组化技术证实两例肿瘤细胞中均存在HCG。