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World J Surg Oncol. 2008 Jun 25;6:68. doi: 10.1186/1477-7819-6-68.

Abnormal hCG levels in a patient with treated stage I seminoma: a diagnostic dilemma.

Author information

  • 1Department of Radiation Oncology, St, Luke's Hospital, Dublin, Ireland. noelaherne@eircom.net

Abstract

BACKGROUND:

We report the case of a patient with treated Stage Ia seminoma who was found to have an elevated beta human chorionic gonadotrophin (hCG) on routine follow - up. This instigated restaging and could have lead to commencement of chemotherapy.

CASE PRESENTATION:

The patient was a bodybuilder, and following a negative metastatic work - up, admitted to injecting exogenous beta hCG. This was done to reduce withdrawal symptoms from androgen abuse. The patient remains well eight years post diagnosis.

CONCLUSION:

This case highlights the need for surgical oncologists to conduct vigilant screening of young male patients with a history of testicular germ cell tumours and who may indulge in steroid abuse.

PMID:
18578862
[PubMed - indexed for MEDLINE]
PMCID:
PMC2442081
Free PMC Article
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