Li P, Zhai Y, Liu H, Lv FD, Li N, Ding HG. Diagnostic value of serum AFP alone or in combination with glypican 3, VEGF or IGF-II for patients with primary hepatocellular carcinoma.
Shijie Huaren Xiaohua Zazhi 2010;
18:2702-2706. [DOI:
10.11569/wcjd.v18.i25.2702]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate the diagnostic value of serum alpha-fetoprotein (AFP) alone or in combination with glypican 3 (GPC3), vascular endothelial growth factor (VEGF) or insulin-like growth factor-II (IGF-II) for patients with primary hepatocellular carcinoma (HCC).
METHODS: Serum AFP, GPC3, VEGF and IGF-II were measured by enzyme-linked immunosorbent assay in 66 patients with histopathologically proven HCC and 16 cirrhotic patients. The cut-off level of AFP for diagnosis of HCC was 400 μg/L, while those of GPC3, VEGF and IGF-II were determined using ROC curve analysis.
RESULTS: The sensitivity of serum GPC3 for diagnosis of HCC was highest, followed by serum IGF-II , AFP and VEGF. The specificity of serum AFP for diagnosis of HCC was highest, followed by serum GPC3, VEGF and IGF-II. AFP in combination with GPC3 was most useful for diagnosis of HCC, especially early HCC. In AFP-negative HCC patients, the positive rate of GPC3 was 51.1%. In patients with early HCC (BCLC stage A), the positive rate of GPC3 was 50.0%.
CONCLUSION: Detection of serum AFP (≥400 μg/L) alone has its imitations in the diagnosis of HCC. AFP in combination with GPC3 is most useful for diagnosis of HCC, especially early HCC.
Collapse