Abstract |
Serum alpha-L-fucosidase (AFU) was determined in 33 patients with hepatocellular carcinoma (HCC), 4 with secondary metastatic liver cancer, 61 with various liver diseases, 12 with gastrointestinal tumor and 50 healthy controls. The results showed that AFU level was significantly higher in HCC (14.48 +/- 5.77) than that in the controls (3.33 +/- 0.72) and in patient with other diseases (P less than 0.01). Serum AFU level was also increased in fulminant hepatitis (8.96 +/- 3.99), acute hepatitis (8.94 +/- 4.94) and chronic hepatitis (7.27 +/- 2.58), P less than 0.01 or 0.05. There was no significant difference in AFU level between the controls and patients with secondary metastatic liver cancer (6.25 +/- 0.84), cirrhosis (6.30 +/- 3.17), gastrointestinal tumor (4.43 +/- 1.64), liver hemangioma and liver abscess (4.86 +/- 2.22). A level exceeding 10.5u was a useful marker for the diagnosis of HCC with 78.8% sensitivity and 90.0% specificity. The diagnostic positivity was 81.8% in low AFP producing HCC, whereas 93.9% in those with elevated AFP. Our data indicate that serum AFU is a useful tumor marker for HCC, particularly in detection of AFP-low or negative HCC patients.
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Authors | W Shen, D M Shen |
Journal | Zhonghua nei ke za zhi
(Zhonghua Nei Ke Za Zhi)
Vol. 28
Issue 7
Pg. 397-9, 442-3
(Jul 1989)
ISSN: 0578-1426 [Print] China |
PMID | 2480210
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Biomarkers, Tumor
- alpha-Fetoproteins
- alpha-L-Fucosidase
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Topics |
- Adult
- Biomarkers, Tumor
(blood)
- Carcinoma, Hepatocellular
(diagnosis)
- Clinical Enzyme Tests
- Female
- Humans
- Liver Diseases
(diagnosis)
- Liver Neoplasms
(diagnosis)
- Male
- Middle Aged
- alpha-Fetoproteins
(analysis)
- alpha-L-Fucosidase
(blood)
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