Abstract
The presence of human chorionic gonadotropin in large bowel cancers was studied immunohistochemically using an immunoperoxidase technique. HCG-positive tumour cells were present in 42 of 194 adenocarcinomas examined (22.0% of colon cancer and 21.2% of rectal cancers). On histological grading, the hCG-positive rate tended to rise as the degree of differentiation decreased. HCG was detected more frequently in cancers invading the total bowel wall (27%) than in those invading the partial wall (17.1%). Lymph node, liver or peritoneal metastases were present more frequently in hCG-positive tumours than in hCG-negative tumours. Furthermore, there was an intimate correlation between the presence of hCG-positive tumour cells and CEA doubling times in nine cases with untreated liver metastasis. The survival rate for patients with tissue hCG-positive cells was lower than for those with hCG-negative tumours. Thus, the presence of tissue hCG in colorectal cancers may be a biological marker of prognostic significance.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Braunstein G. D., Vaitukaitis J. L., Carbone P. P., Ross G. T. Ectopic production of human chorionic gonadotrophin by neoplasms. Ann Intern Med. 1973 Jan;78(1):39–45. doi: 10.7326/0003-4819-78-1-39. [DOI] [PubMed] [Google Scholar]
- Buckley C. H., Fox H. An immunohistochemical study of the significance of HCG secretion by large bowel adenocarcinomata. J Clin Pathol. 1979 Apr;32(4):368–372. doi: 10.1136/jcp.32.4.368. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campo E., Palacin A., Benasco C., Quesada E., Cardesa A. Human chorionic gonadotropin in colorectal carcinoma. An immunohistochemical study. Cancer. 1987 May 1;59(9):1611–1616. doi: 10.1002/1097-0142(19870501)59:9<1611::aid-cncr2820590915>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
- Contractor S. F., Davies H. Effect of human chorionic somatomammotrophin and human chorionic gonadotrophin on phytohaemagglutinin-induced lymphocyte transformation. Nat New Biol. 1973 Jun 27;243(130):284–286. doi: 10.1038/newbio243284a0. [DOI] [PubMed] [Google Scholar]
- Fabris N., Piantanelli L., Muzzioli M. Differential effect of pregnancy or gestagens on humoral and cell-mediated immunity. Clin Exp Immunol. 1977 May;28(2):306–314. [PMC free article] [PubMed] [Google Scholar]
- Fukayama M., Hayashi Y., Koike M. Human chorionic gonadotropin in the rectosigmoid colon. Immunohistochemical study on unbalanced distribution of subunits. Am J Pathol. 1987 Apr;127(1):83–89. [PMC free article] [PubMed] [Google Scholar]
- Goldstein D. P., Kosasa T. S., Skarim A. T. The clinical application of a specific radioimmunoassay for human chorionic gondotropin in trophoblastic and nontrophoblastic tumors. Surg Gynecol Obstet. 1974 May;138(5):747–751. [PubMed] [Google Scholar]
- Ito H., Tahara E. Human chorionic gonadotropin in human gastric carcinoma. A retrospective immunohistochemical study. Acta Pathol Jpn. 1983 Mar;33(2):287–296. doi: 10.1111/j.1440-1827.1983.tb01418.x. [DOI] [PubMed] [Google Scholar]
- McManus L. M., Naughton M. A., Martinez-Hernandez A. Human chorionic gonadotropin in human neoplastic cells. Cancer Res. 1976 Sep;36(9 Pt 2):3476–3481. [PubMed] [Google Scholar]
- Pierce J. G., Parsons T. F. Glycoprotein hormones: structure and function. Annu Rev Biochem. 1981;50:465–495. doi: 10.1146/annurev.bi.50.070181.002341. [DOI] [PubMed] [Google Scholar]
- Shousha S., Chappell R., Matthews J., Cooke T. Human chorionic gonadotrophin expression in colorectal adenocarcinoma. Dis Colon Rectum. 1986 Sep;29(9):558–560. doi: 10.1007/BF02554253. [DOI] [PubMed] [Google Scholar]
- Staab H. J., Anderer F. A., Hornung A., Stumpf E., Fischer R. Doubling time of circulating cea and its relation to survival of patients with recurrent colorectal cancer. Br J Cancer. 1982 Nov;46(5):773–781. doi: 10.1038/bjc.1982.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Strelkauskas A. J., Wilson B. S., Dray D., Dodson M. Inversion of levels of human T and B cells in early pregnancy. Nature. 1975 Nov 27;258(5533):331–332. doi: 10.1038/258331a0. [DOI] [PubMed] [Google Scholar]
- Tormey D. C., Waalkes T. P., Simon R. M. Biological markers in breast carcinoma. II. Clinical correlations with human chorionic gonadotrophin. Cancer. 1977 Jun;39(6):2391–2396. doi: 10.1002/1097-0142(197706)39:6<2391::aid-cncr2820390613>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
- Tyrey L. Human chorionic gonadotropin: structural, biologic, and immunologic aspects. Semin Oncol. 1982 Jun;9(2):163–173. [PubMed] [Google Scholar]
- Walker R. A. Significance of alpha-subunit HCG demonstrated in breast carcinomas by the immunoperoxidase technique. J Clin Pathol. 1978 Mar;31(3):245–249. doi: 10.1136/jcp.31.3.245. [DOI] [PMC free article] [PubMed] [Google Scholar]

