How to Read a Liver Cirrhosis Test Report

Patient's question:

Liver cirrhosis patients had a careful check of alpha-fetoprotein today, which was 11.7. The standard value is 0-10. Is there any danger? I'm very worried that it might be a sign of liver cancer. What should I do if I have frequent bowel movements? I also want to consult whether, if something bad happens again, I should tell the patient or not. Or should I follow up on the condition for fear of causing psychological stress to the patient?

Doctor's answer:

Alpha-fetoprotein is a manifestation of liver cell fibrosis. It is generally seen in cases of liver cancer, but during liver cirrhosis, there is also fibrosis of the cells, so it may also lead to a decrease in alpha-fetoprotein. However, we still question the possibility of liver cancer, as the chance of liver cirrhosis progressing to liver cancer is relatively high. If a patient with liver cirrhosis has a thorough examination of alpha-fetoprotein today and the result is 11.7, it is generally not a major issue. You can focus on careful observation and re-examine the alpha-fetoprotein in 2 weeks. If the alpha-fetoprotein level drops significantly, further examination may be necessary. If you are still not.

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