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Metastatic neuroendocrine carcinoma presenting as multifocal liver lesions with elevated alpha-fetoprotein
Lindsay A Sobotka1, Timothy Hake1, Crystal Kelly2
1Department of Internal Medicine The Ohio State University Wexner Medical Center Columbus Ohio.
Abstract:
Significant elevations in alpha-fetoprotein should raise suspicion for hepatocellular carcinoma as malignancies with metastasis to the liver can elevate the alpha-fetoprotein level but typically <300 ng/mL. Diagnosis should be confirmed with typical characteristics of hepatocellular carcinoma on imaging and or liver biopsy to confirm diagnosis.
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