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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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AFPPT<br />

61534<br />

Concentrations of AFP above the reference range also have been found in serum of patients with benign<br />

liver disease (eg, viral hepatitis, cirrhosis), gastrointestinal tract tumors and, along with carcinoembryonic<br />

antigen, in ataxia telangiectasia. The biological half-life of AFP is approximately 5 days.<br />

Useful For: The follow-up management of patients undergoing cancer therapy, especially for<br />

testicular and ovarian tumors and for hepatocellular carcinoma Often used in conjunction with human<br />

chorionic gonadotropin(2)<br />

Interpretation: Alpha-fetoprotein (AFP) levels may be elevated in association with a variety of<br />

malignancies or benign diseases. Failure of the AFP value to return to normal by approximately 1<br />

month after surgery suggests the presence of residual tumor. Elevation of AFP after remission suggests<br />

tumor recurrence; however, tumors originally producing AFP may recur without an increase in AFP.<br />

Reference Values:<br />

6.0 ng/mL is suspicious<br />

but not diagnostic of ascites related to hepatocellular carcinoma (HCC). This clinical decision limit<br />

cutoff yielded a sensitivity of 58%, specificity of 96% in a study of 137 patients presenting with ascites.<br />

AFP concentrations were significantly higher in ascites caused by HCC. Ascites caused by malignancies<br />

other than HCC routinely had AFP concentrations

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