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Diagnostic value of AFP-L3 and PIVKA-Ⅱin hepatocellular carcinoma according to total-AFP

World Journal of Gastroenterology 2013年第3期19卷 339-346页

作者： Jong Young Choi Seung Won Jung Hee Yeon kim myungshin kim Yonggoo kim Dong Goo kim Eun-Jee Oh Department of Internal Medicine School of MedicineThe Catholic University of KoreaSeoul 137-701South Korea Department of Laboratory Medicine and Laboratory Development Evaluation Center School of MedicineThe Catholic University of KoreaSeoul 137-701South Korea Department of Surgery School of MedicineThe Catholic University of KoreaSeoul 137-701South Korea

AIM:To evaluate diagnostic value ofα-fetoprotein (AFP)-L3 and prothrombin induced by vitamin K absence-Ⅱ(PIVKA-Ⅱ)in hepatocellular carcinoma(HCC). METHODS:One hundred and sixty-eight patients during routine HCC surveillance were included in this *** the 168 patients,90(53.6%)had HCC including newly developed HCC(n=82)or recurrent HCC after treatment(n=8).Sera were obtained during their first evaluation for HCC development and at the time of HCC diagnosis before commencing HCC *** was diagnosed by histological examination,appropriate imaging characteristics-computed tomography or magnetic resonance *** sera were collected from 78 patients with benign liver disease(BLD),which were obtained during routine surveillance with a suspicion of ***,AFP-L3 and PIVKA-Ⅱwere measured in the same serum by microchip capillary electrophoresis and liquid-phase binding assay on a micro-total analysis system Wako i30 auto *** performance characteristics of three tests and combined tests for the diagnosis of HCC were obtained using receiver operating characteristic curves in all populations and subgroups with AFP200 ng/*** the 78 BLD patients,74(94.9%)patients had AFP5%) and PIVKA-Ⅱ(cut-off>40 AU/L),the sensitivity were 94.4%and specificity were 75.6%in all *** 112 patients

关键词： α-fetoprotein Prothrombin induced by vitamin K absence-Ⅱ Hepatocellular carcinoma Diagnosis Tumor marker

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