2004
DOI: 10.1053/j.gastro.2004.09.023
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α-fetoprotein and ultrasonography screening for hepatocellular carcinoma

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Cited by 354 publications
(289 citation statements)
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References 24 publications
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“…Xu J et al stated that high levels of AFP (>20 ng/ml) signify a highly malignant tumor and unfavorable prognosis (Xu et al, 2012). In our study fifty four (55.1%) patients had elevated AFP (>20 ng/ml) which is consistent with previous studies (Daniele et al, 2004;Marrero et al, 2004 ). The patients who had AFP level above 20 ng/ml had significantly worse prognosis compare to the patients who had normal level.…”
Section: Discussionsupporting
confidence: 90%
“…Xu J et al stated that high levels of AFP (>20 ng/ml) signify a highly malignant tumor and unfavorable prognosis (Xu et al, 2012). In our study fifty four (55.1%) patients had elevated AFP (>20 ng/ml) which is consistent with previous studies (Daniele et al, 2004;Marrero et al, 2004 ). The patients who had AFP level above 20 ng/ml had significantly worse prognosis compare to the patients who had normal level.…”
Section: Discussionsupporting
confidence: 90%
“…Predictably, the use of higher cut-off levels results in increased specificity, but at significant cost to the test's sensitivity. 252 Because AFP assay apparently has relatively poor sensitivity at any cut-off level, it is increasingly argued that it is an inadequate screening test when used on its own. 253 One editorial goes as far as to announce its "Obituary".…”
Section: Serum Afp Testingmentioning
confidence: 99%
“…However, the sensitivity of AFP has been reported to be about 60% in HCC [35]. The elevation of AFP is also associated with benign hepatic diseases such as acute and chronic viral hepatitis as well as toxic liver injury, suggesting that AFP specificity in HCC diagnosis is still not reliable.…”
Section: Alpha Fetoprotein and Hcc Diagnosismentioning
confidence: 99%