Study on the correlation of alpha fetoprotein half-life and relapse or metastasis of primary hepatocellular carcinoma
10.3969/j.issn.1000-8861.2001.02.018
- VernacularTitle:甲胎蛋白生物半衰期与肝癌复发转移的关系
- Author:
Shulin LIU
;
Weimin QI
;
Bin LI
;
Lijun ZHANG
- Publication Type:Journal Article
- From:
Immunological Journal
2001;(2):135-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify the correlation of alpha fetoprotein (AFP) half-life (T1/2) with relapse or/and metastasis of primary hepatocellular carcinoma (PHC) after treatment. Methods Determination of AFP content in serum with two steps double McAb sandwich ELISA.Calculation AFP T1/2 of the sufferers treated with intervention and radiofrequency ablation (RFA) according to T1/2=0.3 dT/log(AFP1/AFP2). Results When AFP T1/2>11.5 days, the sensitivity, specificity and accuracy of predicting the relapse or metastasis of PHC after treatment were 87.5%, 89.3%, 88.5%, respectively. Intervention group was 82.35%, 83.3%, 82.75%, respectively and RFA group was 93.3%, 93.75%, 93.5%, respectively. During 200 days,there was very significant difference of AFP T1/2 (P<0.001) between non-relapsed/ non-metastasized and relapsed, metastasized and died. Conclusions AFP T1/2 can be used as a predictive index for relapse, metastasis of PHC after treatment. It is not only a reliable parameter for the later stage treatment, but also a useful index for the evaluation of effect.