医学
甲胎蛋白
生殖细胞肿瘤
人绒毛膜促性腺激素
生殖细胞
化疗
病态的
病理
内科学
精原细胞瘤
癌胚抗原
胃肠病学
内分泌学
激素
癌症
生物
肝细胞癌
免疫疗法
基因
生物化学
肿瘤相关抗原
作者
Josep R. Germà,Marta Llanos,Josep Tabernero,Josefina Móra
出处
期刊:Cancer
[Wiley]
日期:1993-10-15
卷期号:72 (8): 2491-2494
被引量:54
标识
DOI:10.1002/1097-0142(19931015)72:8<2491::aid-cncr2820720829>3.0.co;2-0
摘要
Background. Determination of serum concentration human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) is crucial in diagnosis, prognosis, treatment, and follow-up of patients with germ cell tumors. Elevation of these markers almost indicates progression or recurrence of the germ cell tumor. However, an increase in these tumor markers can be produced by several benign causes. Methods. The authors report nine cases of gonadal germ cell tumors that had increased serum levels of AFP without tumoral progression, recurrence, or residual tumor. Results. The AFP elevations were attributed to liver damage secondary to drugs (chemotherapy, anesthetics, or antiepileptics), virus, or alcoholism. No clinical evidence (or in some cases surgical evidence) of malignant tumor activity was found in any of the patients. Conclusions. The elevation of serum levels of AFP in patients with germ cell tumors can be produced by liver dysfunction. These elevations must be interpreted with caution to avoid unnecessary treatments.
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