关键词: alpha-fetoprotein (AFP) alpha-fetoprotein-L3% (AFP-L3%) des-gamma-carboxyprothrombin (DCP) gender-age-AFP-L3%-AFP-DCP (GALAD) model hepatocellular carcinoma (HCC)

Mesh : Humans Carcinoma, Hepatocellular / diagnosis therapy pathology Liver Neoplasms / diagnosis therapy pathology Biomarkers, Tumor alpha-Fetoproteins Sensitivity and Specificity Protein Precursors Prothrombin Biomarkers Algorithms

来  源:   DOI:10.1002/jcla.24990   PDF(Pubmed)

Abstract:
BACKGROUND: Primary hepatocellular carcinoma (HCC) is one of the most prevalent world-wide malignancies. Half of the newly developed HCC occurs in China. Optimizing the strategies for high-risk surveillance and early diagnosis are pivotal for improving 5-year survival. Constructing the scientific non-invasive detection technologies feasible for medical and healthcare institutions is among the key routes for elevating the efficacies of HCC identification and follow-up.
RESULTS: Based on the Chinese and international guidelines, expert consensus statements, literatures and evidence-based clinical practice experiences, this consensus statement puts forward the clinical implications, application subjects, detection techniques and results interpretations of the triple-biomarker (AFP, AFP-L3%, DCP) based GALAD, GALAD like models for liver cancer.
CONCLUSIONS: The compile of this consensus statement aims to address and push the reasonable application of the triple-biomarker (AFP, AFP-L3%, DCP) detections thus to maximize the clinical benefits and help improving the high risk surveillance, early diagnosis and prognosis of HCC.
摘要:
背景:原发性肝细胞癌(HCC)是世界上最常见的恶性肿瘤之一。新发展的肝癌有一半发生在中国。优化高风险监测和早期诊断策略对于提高5年生存率至关重要。构建适用于医疗保健机构的科学非侵入性检测技术是提高HCC识别和随访有效性的关键途径之一。
结果:根据中国和国际准则,专家共识声明,文献和循证临床实践经验,这一共识声明提出了临床意义,申请科目,三重生物标志物的检测技术和结果解释(AFP,AFP-L3%,DCP)基于GALAD,GALAD像肝癌模型。
结论:本共识声明的汇编旨在解决和推动三重生物标志物(AFP,AFP-L3%,DCP)检测,从而最大限度地提高临床效益,并帮助改善高风险监测,肝癌的早期诊断和预后。
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