Test Directory

Test Code
ALSUP
Test Name
Alpha-Subunit Pituitary Tumor Marker
CPT Codes
82397
Expected Turnaround Time
2 - 8 days
Clinical Utility
  • Adjunct in the diagnosis of pituitary tumors
  • As part of the follow-up of treated pituitary tumor patients
  • Differential diagnosis of thyrotropin-secreting pituitary tumor versus thyroid hormone resistance
  • Differential diagnosis of constitutional delay of puberty versus hypogonadotrophic hypogonadism
Specimen and Container Info

Specimen Type: Serum

Preferred Collection Container: Gold Top, Serum Separator

Alternate Collection Container: Red Top, Plain

Desired Specimen Volume: 1 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 1 mL of serum to a clear aliquot tube (screw cap).
Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Refrigerated

7 days

Frozen

90 days
Causes for Rejection
  • Gross hemolysis
Methodology
Immunochemiluminescent Assay
Reference Intervals

See patient report.

Limitations

False-positive elevations in serum free alpha-subunit levels may be seen in some women if blood specimens are drawn within 24 hours of ovulation.

Patients with kidney failure may have serum free alpha-subunit concentrations of up to 6-times the upper limit of reference range.

Elevated alpha-subunit results on patients with elevated thyrotropin (TSH) should be interpreted with caution due to TSH cross-reactivity with the assay.

Assisted reproduction involving ovarian hyperstimulation or in vitro fertilization may be associated with the elevation in serum free alpha-subunit levels.

Pregnancy is associated with very substantial, physiological elevations in serum free alpha-subunit levels, paralleling chorionic gonadotropin (hCG) secretion. This test should not be ordered on pregnant patients.

Thyrotropin-releasing hormone and gonadotropin releasing hormone testing are not performed in the laboratory, but in specialized clinical testing units under the supervision of a physician

Alternate Names
  • Alpha Glycoprotein Subunit
  • Alpha Subunit, HCG
  • Alpha-HCG (Human Chorionic Gonadotropin)
  • Alpha-PGH (Pituitary Glycoprotein Hormone)
  • Alpha-Subunit of Pituitary Glycoprotein Hormones (Alpha-PGH), Serum
  • Chorionic Gonadotropins, Alpha-Subunit
  • Glycoprotein Subunit
  • HCG, Alpha Subunit
  • Hormone, Alpha-Subunit
  • PGH (Pituitary Glycoprotein Hormone)
  • Pituitary Glycoprotein Alpha Subunit
  • Pituitary Gonadotropins, Alpha-Subunit
Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Routine, 1 time per week