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Related Concept Videos

Serum Laboratory Studies, Stool Test, Breath Test01:30

Serum Laboratory Studies, Stool Test, Breath Test

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Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
296

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A Large-Scale Retrospective Study of Serum Des-Gamma-Carboxy Prothrombin as a Diagnostic Marker of HCC: Effect of

Hongying Bu1, Weijia Luo2, Wenli Tao2

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Journal of Clinical Laboratory Analysis
|April 15, 2025
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Summary

Serum des-gamma-carboxy prothrombin (DCP) shows promise as a biomarker for hepatocellular carcinoma (HCC). However, liver function can affect its diagnostic accuracy, potentially leading to false positives.

Keywords:
AFPDCPHCCretrospective studyserum biomarker

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Area of Science:

  • Hepatobiliary Medicine
  • Oncology Diagnostics
  • Biomarker Research

Background:

  • Hepatocellular carcinoma (HCC) diagnosis relies on accurate biomarkers.
  • Serum des-gamma-carboxy prothrombin (DCP) is a potential biomarker for HCC.

Purpose of the Study:

  • Evaluate the diagnostic accuracy of serum DCP for HCC.
  • Identify factors influencing DCP's diagnostic performance.

Main Methods:

  • Retrospective multicenter study of 4555 subjects.
  • Collected clinical data including medical history, treatments, serum tests, and imaging.
  • Analyzed serum DCP levels across various liver and non-liver conditions.

Main Results:

  • Serum DCP concentrations were significantly higher in HCC patients (9086.00 ± 366.10 mAU/mL) compared to other diseases (p < 0.05).
  • At a threshold of 40.00 mAU/mL, serum DCP showed positive rates of 85.11% in HCC.
  • Diagnostic specificity of serum DCP for HCC was influenced by liver function; AFP levels also increased in HCC.

Conclusions:

  • Serum DCP demonstrates potential as an optimal biomarker for HCC diagnosis.
  • Liver function status is a critical factor influencing DCP accuracy and requires careful consideration to avoid false positives.