Diagnostic Value of Des-gamma Carboxyprothrombin(DCP), Lectin-bound AFP(AFP-L3) and Alpha-fetoprotein (AFP) Expression in Primary Hepatocellular Carcinoma
Objective To observe the alone and joint diagnostic value of des-gamma carboxyprothrombin (DCP) , lectin-bound AFP(AFP-13) and alpha-fetoprotein(AFP) in primary hepatocellular carcinoma, and provide a novel method for diagnosis for PHC and screening for high risk population. Methods The levels of serum DCP,AFP-L3 and AFP were measured in 53 patients with hepa-tocellular carcinoma, 51 cases of cirrhosis, 60 cases of chronic hepatitis, 52 normal healthy subjects established as control group, and analyse the result statistically. Results The levels of serum DCP,AFP-L3 and AFP were significantly higher in the hepatocellular carcinoma than those in other groups. The diagnostic sensitivities of DCP,AFP-I3 and AFP to hepatocellular carcinoma were 77.36% , 69.81% and 60.38% respectively, the specificity were 89.57% , 88.34% and 77.91% , individually. The joint detection could improve sensitivity up to 94.34%. Conclusion DCP was a high sensitivity and specificity marker for diagnosis of PHC. The combined assay of serum tumor markers possess more value in the diagnosis of PHC, especially in AFP negative patients.
NETL
NSTL
维普
万方数据
