Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature

Ectopic secretion of beta-human chorionic gonadotropin is considered a poor prognostic marker in epithelial tumors. However, very few cases have been reported in sarcomas. We present the case of a 26-year-old female who presented with a metastatic osteosarcoma. She underwent usual testing prior to s...

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Main Authors: Ryan Glass, Jaya Ruth Asirvatham, Leonard Kahn, Mohamed Aziz
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2015/897230
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author Ryan Glass
Jaya Ruth Asirvatham
Leonard Kahn
Mohamed Aziz
author_facet Ryan Glass
Jaya Ruth Asirvatham
Leonard Kahn
Mohamed Aziz
author_sort Ryan Glass
collection DOAJ
description Ectopic secretion of beta-human chorionic gonadotropin is considered a poor prognostic marker in epithelial tumors. However, very few cases have been reported in sarcomas. We present the case of a 26-year-old female who presented with a metastatic osteosarcoma. She underwent usual testing prior to starting treatment and was found to have elevated levels of beta-human chorionic gonadotropin. As the patient was not pregnant, another source of beta-human chorionic gonadotropin secretion had to be considered. The tumor cells demonstrated positive staining for beta-human chorionic gonadotropin by immunohistochemistry, and serum levels of beta-human chorionic gonadotropin were used to monitor tumor progression and response to chemotherapy. We review the literature and discuss a potential role of beta-human chorionic gonadotropin in the treatment of such patients.
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series Case Reports in Pathology
spelling doaj-art-4dc42fb9cb6b4ea7ad22d6873c559fad2025-02-03T00:59:10ZengWileyCase Reports in Pathology2090-67812090-679X2015-01-01201510.1155/2015/897230897230Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the LiteratureRyan Glass0Jaya Ruth Asirvatham1Leonard Kahn2Mohamed Aziz3Department of Pathology, North Shore Long Island Jewish, New Hyde Park, NY 11040, USADepartment of Pathology, North Shore Long Island Jewish, New Hyde Park, NY 11040, USADepartment of Pathology, North Shore Long Island Jewish, New Hyde Park, NY 11040, USADepartment of Pathology, North Shore Long Island Jewish, New Hyde Park, NY 11040, USAEctopic secretion of beta-human chorionic gonadotropin is considered a poor prognostic marker in epithelial tumors. However, very few cases have been reported in sarcomas. We present the case of a 26-year-old female who presented with a metastatic osteosarcoma. She underwent usual testing prior to starting treatment and was found to have elevated levels of beta-human chorionic gonadotropin. As the patient was not pregnant, another source of beta-human chorionic gonadotropin secretion had to be considered. The tumor cells demonstrated positive staining for beta-human chorionic gonadotropin by immunohistochemistry, and serum levels of beta-human chorionic gonadotropin were used to monitor tumor progression and response to chemotherapy. We review the literature and discuss a potential role of beta-human chorionic gonadotropin in the treatment of such patients.http://dx.doi.org/10.1155/2015/897230
spellingShingle Ryan Glass
Jaya Ruth Asirvatham
Leonard Kahn
Mohamed Aziz
Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
Case Reports in Pathology
title Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
title_full Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
title_fullStr Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
title_full_unstemmed Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
title_short Beta-Human Chorionic Gonadotropin Producing Osteosarcoma of the Sacrum in a 26-Year-Old Woman: A Case Report and Review of the Literature
title_sort beta human chorionic gonadotropin producing osteosarcoma of the sacrum in a 26 year old woman a case report and review of the literature
url http://dx.doi.org/10.1155/2015/897230
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