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간세포암의 진단과 치료에서 종양표지자의 역할

Roles of Tumor Markers in Diagnosis and Treatment of Hepatocellular Carcinoma

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초록

There are a wide variety of tumor markers for hepatocellular carcinoma (HCC). Studies are ongoing regarding the roles of tumor markers in screening, diagnosis, treatment, and prognostic prediction of HCC. Serum alpha-fetoprotein (AFP) can be very useful for HCC surveillance, prognostic prediction, and treatment response evaluation in high-risk patients with HCC. Other tumor markers such as PIVKA-II and AFP-L3% have also been proven to be effective in HCC diagnosis, follow-up, and prognostic prediction; these markers are increasingly used with serum AFP in clinical trials. However, the roles of tumor markers in surveillance are poorly understood and still controversial, requiring further research. HCC surveillance in at-risk population is a critical issue in management of HCC. Further data regarding the predictive value and cost-effectiveness of tumor markers could facilitate their uses in HCC surveillance.

Abstract

There are a wide variety of tumor markers for hepatocellular carcinoma (HCC). Studies are ongoing regarding the roles of tumor markers in screening, diagnosis, treatment, and prognostic prediction of HCC. Serum alpha-fetoprotein (AFP) can be very useful for HCC surveillance, prognostic prediction, and treatment response evaluation in high-risk patients with HCC. Other tumor markers such as PIVKA-II and AFP-L3% have also been proven to be effective in HCC diagnosis, follow-up, and prognostic prediction; these markers are increasingly used with serum AFP in clinical trials. However, the roles of tumor markers in surveillance are poorly understood and still controversial, requiring further research. HCC surveillance in at-risk population is a critical issue in management of HCC. Further data regarding the predictive value and cost-effectiveness of tumor markers could facilitate their uses in HCC surveillance.

참고문헌 (42)

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관련 논문AI추천

간세포암종의 진단 및 치료 후 추적 관찰에서 혈청 PIVKA-II의 임상적 효용성김철, 김용수, 김현숙, 문영명, 윤영준, 전재윤, 최혜진, 한광협, 한재용, 한창훈대한간학회 · Clinical and Molecular Hepatology2002 · 제8권 제2002호간세포암의 치료후의 진단과 후속초치에 있어 혈청 PIVKA-II의 효험구금경, 민원기, 박병윤, 이상희, 전사일, 한태진대한임상검사과학회 · 대한임상검사과학회지2011 · 제43권 제4호Feasibility of α-fetoprotein as a diagnostic tool for hepatocellular carcinoma in Korea강현, 배시현, 이준성, 이현웅, Dae Geon Ahn, Hyung Joon Kim, Joon Hyoek Lee, Yong Han Paik대한내과학회 · The Korean Journal of Internal Medicine2016 · 제31권 제1호간세포암의 진단과 재발판정에서 PIVKA-II의 유용성김경규, 김도영, 김자경, 문영명, 백용한, 심명기, 안상훈, 이관식, 전재윤, 한광협대한내과학회 · 대한내과학회지2005 · 제69권 제1호수술 전 알파태아단백치가 높은 간세포암 환자에서 간절제술 후 알파태아단백만을 이용한 추적관찰이 가능한가?김태훈, 서경석, 신우영, 이건욱, 이남준, 전영민대한간학회 · Clinical and Molecular Hepatology2010 · 제16권 제2호간세포암종 진단에 유의한 PIVKA-II 값의 제시 - ROC Curve를 이용하여 -김동우, 김명진, 김정혁, 방기태, 배강우, 서평주, 송일한, 이보한, 정인국대한간학회 · Clinical and Molecular Hepatology2006 · 제12권 제3호

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