Problem description: Hello, my father performed liver cancer surgery in October 2016. The last two rechecks found that alpha-fetoprotein ranges from 1.67-61-90 (rechecked every three months). I would like to consult What are the reasons for the increase in alpha-fetoprotein and the consequences of the increase? The picture is an ultrasound report. It’s troublesome, it’s hard work!
Question date:2021-03-12
Patient information:Age: 51 years old Gender: Male
Question analysis: 5 years after liver cancer, re-examination revealed that AFP gradually increased; imaging examination revealed intrahepatic nodules, consider hyperplasia. To clarify the nature of the nodule.
Guiding suggestions: 1) After liver cancer, it is recommended to continue follow-up in general surgery or oncology. The AFP gradually increased after the operation, which is not an optimistic message, suggesting the possibility of recurrence. 2) It is recommended to add alpha-fetoprotein heterogene (AFP-L3) and abnormal prothrombin (DCP) testing; it is recommended to follow-up ultrasound examination of nodules every 3 months or enhanced CT scan. 3) At present, PMI can be considered to enhance the MRI scan, and the nature of the nodule can also be roughly defined. 4) If hepatitis B is combined, it is recommended to strengthen antiviral treatment.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection