ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. |
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For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Retrospective Study |
Article Title |
Lens culinaris agglutinin-reactive fraction of alpha-fetoprotein improves diagnostic accuracy for hepatocellular carcinoma
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Manuscript Source |
Invited Manuscript |
All Author List |
Han Ah Lee, Yoo Ra Lee, Young-Sun Lee, Young Kul Jung, Ji Hoon Kim, Hyunggin An, Hyung Joon Yim, Yoon Tae Jeen, Jong Eun Yeon, Kwan Soo Byun and Yeon Seok Seo |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Yeon Seok Seo, MD, PhD, Professor, Department of Internal Medicine, Korea University College of Medicine, 73 Goryeodae-ro, Seongbuk-gu, Seoul 02841, South Korea. drseo@korea.ac.kr |
Key Words |
Alpha-fetoprotein; Lens culinaris agglutinin-reactive fraction of alpha-fetoprotein; Protein induced by vitamin K absence or antagonist-II; Hepatocellular carcinoma |
Core Tip |
The value of Lens culinaris agglutinin-reactive fraction of alpha-fetoprotein (AFP-L3) for improving diagnostic accuracy of hepatocellular carcinoma has not been fully evaluated. We investigated performance of AFP-L3 in patients with newly detected liver mass or elevated serum AFP level. In total of 622 patients, we observed significantly higher diagnostic accuracy of AFP-L3 level than with AFP level (P < 0.001). In addition, we developed a novel diagnostic model, AFP, AFP-L3 fraction, and protein induced by vitamin K absence or antagonist-II (PIVKA-II) score, derived from AFP level, AFP-L3 fraction, and PIVKA-II level, and it showed significantly higher area under the receiver operating characteristics curves of 0.878 than those of AFP level, AFP-L3 fraction, and PIVKA-II level (all P < 0.05). |
Publish Date |
2021-07-26 11:20 |
Citation |
Lee HA, Lee YR, Lee YS, Jung YK, Kim JH, An H, Yim HJ, Jeen YT, Yeon JE, Byun KS, Seo YS. Lens culinaris agglutinin-reactive fraction of alpha-fetoprotein improves diagnostic accuracy for hepatocellular carcinoma. World J Gastroenterol 2021; 27(28): 4687-4696 |
URL |
https://dx.doi.org/10.3748/wjg.v27.i28.4687 |
DOI |
https://dx.doi.org/10.3748/wjg.v27.i28.4687 |