Marcadores tumorales serológicos en cirugía hepatobiliopancreática

Nimesulide-induced fatal acute liver failure in an elderly woman with metastatic biliary adenocarcinoma. A case report

“… 28 Increased CEA together with increased CA-19-9 is widely used as a gallbladder bile tumor marker. 29 , 30 Simultaneous CEA, CA-19-9 and CA-125 elevation indicates primary malignancy from the bile ducts. 30 , 31 Normal alpha-fetoprotein levels rule out cancer originating from the liver.…”

“…29 , 30 Simultaneous CEA, CA-19-9 and CA-125 elevation indicates primary malignancy from the bile ducts. 30 , 31 Normal alpha-fetoprotein levels rule out cancer originating from the liver. 30 , 31 Furthermore, following acute liver injury with extensive necrosis, an increase in AFP is interpreted as a sign of dedifferentiated hepatic regeneration.…”

“… 30 , 31 Normal alpha-fetoprotein levels rule out cancer originating from the liver. 30 , 31 Furthermore, following acute liver injury with extensive necrosis, an increase in AFP is interpreted as a sign of dedifferentiated hepatic regeneration. 32 , 33 , 34 At the necropsy on the liver, the presence of both acute hepatitis and adenocarcinoma was confirmed, and the characteristics were those of a bile duct cancer metastasis.…”