Can alpha-fetoprotein diagnose liver cancer?

Written by Zhang Lu
Obstetrics
Updated on March 13, 2025
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Alpha-fetoprotein, also known as AFP, reflects the function of the liver and whether there are any diseases present. The accuracy and specificity of alpha-fetoprotein in diagnosing liver cancer are relatively high. In non-pregnant individuals, whether male or female, an elevated alpha-fetoprotein level should raise suspicions of liver disease, and it is advisable to promptly undergo ultrasound or CT scans to determine the presence of liver cancer or other liver diseases. However, during pregnancy, as the fetus grows and develops, a certain amount of alpha-fetoprotein is released. Therefore, when testing the blood of pregnant women, an increase in alpha-fetoprotein is observed. This condition is a physiological change and does not indicate the occurrence of liver diseases such as liver cancer in women. Thus, alpha-fetoprotein can serve as an auxiliary method for diagnosing liver cancer, but only in non-pregnant individuals.

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Written by Sun Ming Yue
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Symptoms of late-stage liver cancer deterioration

If liver cancer reaches an advanced stage, many symptoms will appear. For example, there will be pain in the liver area due to the tumor's growth pulling on the liver capsule, causing persistent swelling in the upper right part or stomach pain. If the tumor invades the pectoral muscles, it may cause referred pain in the right shoulder or back. Some patients may experience an enlarged liver due to the increased size of the tumor, which feels painful when pressed. Additionally, the increase and pressure from the tumor can obstruct bile excretion, leading to jaundice, and symptoms of cirrhosis may also appear. In general, the main symptoms of advanced liver cancer include fever, fatigue, loss of appetite, and weight loss. If the condition worsens, metastatic symptoms may occur; lung metastasis can cause the patient to cough and expel phlegm, and bone metastasis can cause localized pain and lumps.

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Written by Du Rui Xia
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Can alpha-fetoprotein confirm liver cancer?

Alpha-fetoprotein is a type of oncofetal antigen and a glycoprotein. It is used clinically as a highly specific marker for diagnosing primary liver cancer. However, elevated alpha-fetoprotein levels do not definitively indicate liver cancer, as although it is a tumor marker with diagnostic significance, elevated levels can also be seen in patients with liver cirrhosis or chronic hepatitis. Additionally, increased alpha-fetoprotein can occur in pregnant women or in the presence of other types of cancer, so further investigation is necessary to confirm the cause.

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Written by Yan Chun
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Will people with early-stage liver cancer experience weight loss?

Patients with early-stage liver cancer generally do not experience weight loss; weight loss is more commonly a clinical manifestation in patients with late-stage liver cancer. The reason for weight loss in liver cancer patients is due to the damage caused by cancerous tissue to liver function, leading to reduced synthesis of albumin. Furthermore, patients with liver cancer often experience a significant decrease in food intake, resulting in insufficient intake of nutrients such as albumin. Additionally, the progression of liver cancer tumors requires the consumption of a large amount of the body's albumin. Therefore, due to these factors, many patients with late-stage liver cancer exhibit clinical manifestations of weight loss. Moreover, besides not experiencing weight loss, patients with early-stage liver cancer also do not typically present with typical clinical symptoms. Many patients are asymptomatic, and as the lesion progresses, the cancer spreads, possibly leading to clinical manifestations associated with tumor spread. For example, pain in the liver area, a significant decrease in food intake, fatigue, fever, pain, and some patients may also exhibit symptoms of metastasis such as headaches, vomiting, abdominal pain, and abdominal distension.

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Can primary liver cancer patients eat eggs?

Patients with primary liver cancer can also eat eggs, as there are no specific prohibitions against it. Eggs are a high-protein food. While many people worry that eating eggs might increase the burden on the liver, there is actually no need for concern. If a patient has a good appetite and can eat well, consuming some eggs to increase protein intake can help enhance body resistance and support antitumor treatment. In addition to eggs, liver cancer patients should also consume other high-quality proteins such as fish and protein powder. These are all beneficial. Of course, the choice should also be based on the patient's own preferences. Additionally, it is advisable to drink plenty of water and eat fresh vegetables and fruits.

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What's going on with the facial swelling in the late stage of liver cancer?

Patients with advanced liver cancer may experience facial swelling, which can be attributed to the following reasons: Firstly, patients with advanced liver cancer often show significant disease progression and may develop complications associated with hepatorenal syndrome. Clinically, this can manifest as reduced urine output, anuria, and even renal impairment, leading to facial swelling. Secondly, in patients with advanced liver cancer, there may be metastasis to cervical lymph nodes. Enlarged lymph nodes can compress or invade surrounding structures, leading to superior vena cava syndrome. Once this syndrome occurs, patients may experience swelling in the face and neck, and some may even face severe breathing difficulties. Lastly, some patients with advanced liver cancer may experience renal damage due to the toxic side effects of antitumor treatments or medications. Clinically, this can lead to increased levels of blood urea nitrogen and creatinine, reduced urine output, and hypoproteinemia, which may also result in facial swelling.