【摘 要】
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目的 介绍甲胎蛋白 (AFP)低浓度阳性肝细胞癌 (HCC)的临床诊断特点。方法 复习相关文献 ,作综合性报道。结果与结论 (1)在有肝实质占位病变 (SOL)存在时 ,AFP低浓度升高
【机 构】
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江苏省淮阴市第二人民医院普外科!江苏淮阴223002,江苏省淮阴市第二人民医院普外科!江苏淮阴223002,复旦大学医学院中山医院肝肿瘤科!上海200032
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目的 介绍甲胎蛋白 (AFP)低浓度阳性肝细胞癌 (HCC)的临床诊断特点。方法 复习相关文献 ,作综合性报道。结果与结论 (1)在有肝实质占位病变 (SOL)存在时 ,AFP低浓度升高可作为诊断HCC的参考标准 ;(2 )提出低浓度AFPHCC ,有助于避免AFP 2 1 2 0 0 μg/L之间HCC的漏诊 ,利于在AFP较低浓度时作出早期诊断 ;(3 )用AFP >2 0 μg/L结合B超、CT等检查联合进行诊断 ,提高了单一诊断手段的敏感性和特异性
Objective To introduce the clinical diagnostic features of alpha-fetoprotein (AFP) low-level positive hepatocellular carcinoma (HCC). Method Review related literature for comprehensive reporting. Results and conclusions (1) In the presence of hepatic solid occupying lesions (SOL), elevated AFP concentrations may be used as a reference for diagnosing HCC; (2) Proposing low concentrations of AFPHCC may help avoid AFP 2 1 0 0 0 The missed diagnosis of HCC between μg/L is conducive to early diagnosis when the AFP is lower; (3) The sensitivity of single diagnosis method is improved by using AFP >20 μg/L combined with B-ultrasound, CT, etc. And specificity
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