【摘要】 目的　介绍甲胎蛋白 (AFP)低浓度阳性肝细胞癌 (HCC)的临床诊断特点。方法　复习相关文献 ,作综合性报道。结果与结论　 (1)在有肝实质占位病变 (SOL)存在时 ,AFP低浓度升高可作为诊断HCC的参考标准 ;(2 )提出低浓度AFPHCC ,有助于避免AFP 2 1 2 0 0 μg/L之间HCC的漏诊 ,利于在AFP较低浓度时作出早期诊断 ;(3 )用AFP >2 0 μg/L结合B超、CT等检查联合进行诊断 ,提高了单一诊断手段的敏感性和特异性更多还原

【Abstract】 Objective To introduce clinical diagnostic specificity of hepatocellular carcinoma (HCC) with serum AFP level in 21*!μg/L to 200*!μg/L. Methods Making a literature summarizaton based on the papers review.Results and Conclusions (1) The AFP level more than 20*!μg/L can be used as a diagnostic criteria of HCC when existing liver space occuping lesion (SOL). (2) The clinical diagnostic criteria using AFP level more than 20 μg/L instead of more than 200 μg/L would be helpful to avoid misdiagnosis of HCC with the AFP level in 21 μg/L to 200 μg/L. (3) The Combination of AFP level more than 20 μg/L with ultrasonography, CT scanning would have higher sensitivity and specificity than single diagnostic method.更多还原