RESEARCH ON CHANGES OF AFP, AFP-L3, PIVKA-II BEFORE AND AFTER TREATMENT OF HEPATOCELLULAR CARCINOMA

Nguyễn Công Long1,, Nguyễn Bá Vượng2
1 Department of Gastroenterology and Hepatology, Bach Mai Hospital
2 Ha Dong General Hospital

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Abstract

Objective: The purpose of this study is to evaluate the role of three markers AFP, AFP-L3, PIVKA-II in evaluating the treatment of patients with hepatocellular carcinoma. Subjects and methods: A total 29 patients with hepatocellular carcinoma participating in the study evaluated the clinical, laboratory and response characteristics of AFP, AFP-L3, PIVKA-II after 1 month of treatment and 3 months. Results: In 29 patients, the mean age of patients was 60.5 ±10.1 years. The risk factors for liver cancer are hepatitis B and C viruses and alcohol. The combination of three markers AFP, AFP-L3 and PIVKA-II increases the sensitivity in the diagnosis of HCC compared with the use of each marker alone. After 1 month and 3 months of treatment with TACE or RFA in HCC patients, mean serum levels of AFP, AFP-L3 and PIVKA-II markers decreased compared with before treatment. Conclusions: The combination of three markers AFP, AFP-L3 and PIVKA-II increases the predictive power of imaging response after treatment of HCC patients compared with the use of each marker alone.

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References

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