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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2015 ; 94
(23
): e901
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Serum Alpha-Fetoprotein Has High Specificity for the Early Detection of
Hepatocellular Carcinoma After Hepatitis C Virus Eradication in Patients
#MMPMID26061310
Minami T
; Tateishi R
; Kondo M
; Nakagomi R
; Fujiwara N
; Sato M
; Uchino K
; Enooku K
; Nakagawa H
; Asaoka Y
; Kondo Y
; Moriya K
; Shiina S
; Koike K
Medicine (Baltimore)
2015[Jun]; 94
(23
): e901
PMID26061310
show ga
Alpha-fetoprotein (AFP) has not played a large role in the surveillance of
hepatocellular carcinoma due to inadequate sensitivity and specificity for active
chronic hepatitis or cirrhosis. The aim of this study was to evaluate the
diagnostic accuracy of AFP in small hepatocellular carcinomas after hepatitis C
virus eradication to determine the optimal cutoff value. We conducted a
case-control study of 29 cases and 58 controls, matched for age, gender, and
platelet counts. The AFP cutoff was 5?ng/mL in patients after hepatitis C virus
eradication and 17?ng/mL in those without hepatitis C virus eradication. The
areas under the receiver operating characteristic curve were 0.86 (95% confidence
interval, 0.76-0.96) in patients after hepatitis C virus eradication and 0.83
(95% confidence interval, 0.74-0.91) in those without hepatitis C virus
eradication. In patients after hepatitis C virus eradication, the sensitivity and
specificity of AFP levels were 24.1% and 100%, respectively, using a cutoff value
of 17?ng/mL. Using a lower cutoff value of 5?ng/mL, the sensitivity increased to
75.9%, although the specificity decreased to 89.0%. AFP is a specific tumor
marker for the diagnosis of hepatocellular carcinoma after hepatitis C virus
eradication when using the optimal cutoff value of 5?ng/mL.