We read with interest the article by Riener et al. 1 reporting the potential usefulness of Golgi Phosphoprotein 2 (GOLPH2) as a new serum biomarker for diagnosing hepatocellular carcinoma (HCC). We would like to draw attention to similar studies on the use of serum GOLPH2 in the differentiation of HCC patients from controls with no liver disease and patients with cirrhosis. Furthermore, the sensitivity and specificity of GOLPH2 in patients with early HCC versus those with cirrhosis and controls with no liver disease was also significantly better that AFP (P Ͻ 0.0001). This result was very similar to the Marrero et al. 2 previously reported data.According to Marrero et al. 2 previously reported methods, we tested the serum GOLPH2 levels in patients with HCC (50), patients with cirrhosis (50), and controls with no liver disease (50). Our results showed that GOLPH2 was detected in the sera of all patients, but the levels were higher in patients with HCC and cirrhosis in comparison with controls with no liver disease. Median serum GOLPH2 levels were 1.35 relative units (range, 0.52-12.99) in controls with no liver disease, 4.39 relative units (range, 0.52-26.78) in patients with cirrhosis, and 14.37 relative units (range, 1-57) in those with HCC (P Ͻ 0.0001 for HCC versus patients with cirrhosis and controls with no liver disease). Median serum alpha-fetoprotein (AFP) levels were 2.46 ng/mL (range, 1.15-7.68) in controls with no liver disease, 6.11 ng/mL (range, 0.28-625) in patients with cirrhosis, and 16.2 ng/mL (range, 0.89-352,000) in HCC patients (P Ͻ 0.0001 for HCC patients versus controls with no liver disease and patients with cirrhosis). When patients with cirrhosis were compared to those with early HCC (United Network for Organ Sharing modified tumor-node-metastasis stages 1 and 2), the median serum GOLPH2 levels were significantly higher in those with early HCC: 12.69 relative units (range, 1-49) versus 4.39 relative units (range, 0.52-26.78) in patients with cirrhosis (P Ͻ 0.0001). Median serum AFP levels were also significantly higher in patients with early HCC than in those with cirrhosis: 11.23 ng/mL (range, 1.48-137,000) versus 6.11 ng/mL (range, 0.28-625) in patients with cirrhosis (P Ͻ 0.001). GOLPH2, also named GP73, is widely expressed in epithelial cells of many human tissues. 3 Previously, Kladney et al. found expression of GOLPH2 can't be detected in normal human hepatocytes, but can be significantly up-regulated in hepatocytes from patients with viral or nonviral liver diseases. 4 A recent study also showed that the elevated serum GOLPH2 level condition was significantly associated with the liver cancer in woodchucks and human. Thus, GOLPH2 can be used as a useful biomarker for detection of HCC. However, the potential value of GOLPH2 in detecting the early HCC is still unclear.In summary, our data highlight three points. First, we have shown that GOLPH2 is a better marker than AFP for diagnosing early HCC, partially concurring with the findings from Riener et al.'s study. Second, the sample s...