Early Recognition of Hepatocellular Carcinoma Based on Altered Profiles of Alpha-Fetoprotein

作者: Yoshiaki Sato , Keisuke Nakata , Yuji Kato , Masayoshi Shima , Nobuko Ishii

DOI: 10.1056/NEJM199306243282502

关键词: Alpha-fetoproteinCirrhosisAFP-L3LiterCarcinomaMedicineHepatocellular carcinomaLectinPathologyHepatitis C virus

摘要: Background The sugar-chain structures of circulating alpha-fetoprotein in patients with hepatocellular carcinomas differ from those cirrhosis. We studied the reactivity two lectins, Lens culinaris agglutinin A and erythroagglutinating phytohemagglutinin, to monitor evolution carcinoma Methods Among 361 cirrhosis caused mainly by chronic hepatitis B or C virus infection, 33 base-line serum concentrations ≥ 30 ng per milliliter were found have during a mean follow-up 35 months. lectin-reactive profiles these analyzed compared 32 who had increased followed for at least 24 months but whom did not develop. Results At time tumor detecti...

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