The diagnosis of hepatocarcinoma and _'s symptom of the differential diagnosis

The diagnosis of hepatocarcinoma and _'s symptom of the differential diagnosis
(1) Diagnosis of hepatocarcinoma On the basis of getting rid of gestation and gonadial embryo's tumour, AFP checks to diagnose the standard of liver cell cancer is: AFP lasts 4 weeks to greater than 55ug/L; AFP is risen gradually by the low density and does not lower; AFP medium level above 200ug/L lasts 8 weeks. (2) Differential diagnosis Active chronic hepatitis has 20%-45% of the AFP to present low density with the liver cirrhosis case positively, do not exceed more 200ug/Ls, common in third amino acid transaminase of serum (ALT) Obviously raise, AFP presents the synchronous relation; Generally take a favorable turn with the condition in l-2 in a month, ALT drops and drops. If AFP presents low density reaches two months continuously or longer, ALF is normal, should especially watch out for the existence of the inferior clinical hepatocarcinoma, can find by the intersection of AFP and heterogeneous body diagnosing rate of improvement and there is important differentiation value on hepatocarcinoma and benign hepatopathy. AFP negative hepatocarcinoma can be through measuring other tumour marks and combining clinic, Ultrasonography B, CT,etc. to check, further make a definite diagnosis of. (3) Curative effect is appraised and the prognosis is monitored AFP primary hepatocyte most sensitive in hepatocarcinoma and most peculiar tumour mark, possible except AFP negative hepatocarcinoma, if AFP person who smaller thans 20ug/L, primary hepatocarcinoma is basically impossible; Must follow up a case by regular visits to, observe the dynamic change of AFP closely, pay attention to possible small hepatocarcinoma AFP in 350-500ug/L among 100-300ug/L person, or the intersection of content and person who increase obviously, must consult, check while being other, should watch out for primary possibility of hepatocarcinoma highly; If AFP is 500-1000ug/L, and the content is raising constantly in a short time, the possibility of primary hepatocarcinoma is very great, but must propose laboring to examine; AFP old on 1000ug/L person, even AFP rise rapidly by content in the near future, primary hepatocarcinoma diagnose, can basically confirm. AFP positive patient goes on AFP trends or checks regularly, contribute to finding out about the development of the condition. When surgery excises chemotherapy, microwave, ethanol to inject etc. and treat validly, tumour dwindles, AFP drops; If tumour dwindles and AFP rises, prove tumour is shifted or sown scatteredly. High-level AFP can show the prognosis is bad or treats reaction difference while feeling a pain in the chest when breathing. Excise a patient as to tumour, the postoperative AFP person who drops 20ug/L to, it is the prognosis that is obviously superior to not dropping to the normal one.
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