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病例报道:体检发现AFP升高3天

2015-10-03 梁和月 饶圣祥 复旦大学附属中山医院放射科

【病史】: 女,70岁,因“外院体检发现AFP升高3天”入院。无腹痛腹胀等不适,肿瘤指标(包括AFP)正常。1993年有左乳癌切除病史。 腹部MR检查如下: 答案往下 【MR表现】: 肝左内叶见一3.2×2.5cm类圆形异常信号,T2WI呈高低混杂信号,T1WI呈部分高信号,DWI呈混杂高低信号,增强后见病灶部分轻度强化,临近肝内胆管轻度扩张,病灶与肝内胆管相

【病史】:

女,70岁,因“外院体检发现AFP升高3天”入院。无腹痛腹胀等不适,肿瘤指标(包括AFP)正常。1993年有左乳癌切除病史。

腹部MR检查如下:

答案往下

【MR表现】:

肝左内叶见一3.2×2.5cm类圆形异常信号,T2WI呈高低混杂信号,T1WI呈部分高信号,DWI呈混杂高低信号,增强后见病灶部分轻度强化,临近肝内胆管轻度扩张,病灶与肝内胆管相通。

【手术病理结果】:

(左肝)胆管内乳头状肿瘤,伴上皮重度异型增生,癌变(原位癌),周围肝组织未见结节性肝硬化。左肝管切缘未见肿瘤累及。
免疫组化: CDX2(-),CK20(-),CK7(部分+),Muc-1(少量+),Muc-2(少量+),Muc-4(少量+),Muc-5(+++),Muc-6(+),Ki-67(40%阳性)

【讨论】:

胆管内乳头状肿瘤(IPN-B)相对少见,2010年WHO将其分类为是具有独特的临床病理特点的胆管上皮肿瘤。表现为胆管腔内乳头状肿块,单发或多发,表面呈“绒毛”状或“珊瑚”状,向腔内突出。可发生于胆道系统任何部位。WHO将无浸润成分的IPNB分为腺瘤、交界性肿瘤和原位癌,有浸润成分则分为管状腺癌和胶样腺癌。远东国家发病率较高,可能与肝内胆管结石和华支睾吸虫病的流行有关。好发年龄在50到70岁。主要临床症状包括间歇性腹痛、急性胆管炎、黄疸。组织学上,乳头状结构由纤维血管的核心被覆各种不同类型的上皮细胞构成,被覆的上皮细胞有 4 种类型: 胰胆管型、肠型、嗜酸细胞型和胃型,其中以胰胆管型最多见。CT/MR表现为扩张的胆管伴腔内肿块。腔内肿块T1WI为等或低信号,T2WI为高信号,CT强化方式与正常肝实质相比:动脉晚期呈等或高密度,门脉期及延迟期不高于肝实质密度,MR强化方式与其类似。胆管的扩张可以表现为局限性扩张,弥漫性扩张和囊状扩张。鉴别诊断主要包括:1.胆管内结石(增强扫描示结石不强化,MRI 检查更容易区分胆管内软组织成分与结石);2.胆管癌(好发于肝门胆管,肿瘤处胆管壁显示增厚、狭窄,增强扫描强化程度高于 IPN-B肿瘤,容易侵犯肝门周围组织及门静脉,较早发现肝门区、腹膜后淋巴结转移及肝内转移);3.肝囊腺瘤或癌(肝囊腺瘤或囊腺癌不与胆管相通,一般无胆管扩张,囊内壁结节并不附于胆管壁)。

【参考文献】

[1]Ohtsuka, M.; Shimizu,H.; Kato, A. , et al. Intraductal papillary neoplasms of the bile duct. Int JHepatol, 2014(45): 90-91

[2]K. Y. Paik, J. S. Heo, S. H. Choi et al., “Intraductal papillary neoplasm ofthe bile ducts: the clinical features and surgical outcome of 25 cases,”Journal of Surgical Oncology, 2008,97(6): 508–512.

[3]H.Ogawa, S. Itoh, T. Nagasaka, K. Suzuki, T. Ota, and S. Naganawa, “CT findings of intraductal papillary neoplasm of thebile duct: assessment with multiphase contrast-enhanced examination usingmulti-detector CT,” Clinical Radiology, vol. 67, no. 3, pp. 224–231, 2012.

[4]H. J. Yoon, Y. K. Kim, K. T. Jang et al., “Intraductal papillary neoplasm ofthe bile ducts: description of MRI and added value of diffusion-weightedRI,”Abdominal Imaging. 38(5):1082–1090, 2013.

[5]毛志群,刘建滨,郭一清,等.胆管内乳头状肿瘤的多层螺旋CTMRI表现.中国医学影像学杂志,2014 22(2):153-157

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  1. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2017-01-24 lanqier2013

    学习了,这个真是第一次见

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml

    0

  4. 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content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-25 邓启付

    胆管乳头状瘤为什么AFP也高。

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=172370, encodeId=17011e2370db, content=学习了,这个真是第一次见, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/11/ce1bc4920c50e96957ffb024a4bf7ef9.jpeg, createdBy=a03b2011554, createdName=lanqier2013, createdTime=Tue Jan 24 14:40:29 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135155, encodeId=671c1351557c, content=妇产科的生殖腺胚胎癌、卵巢内胚窦癌AFP也会明显升高。AFP中度升高也常见于酒精性肝硬化、急性肝炎以及HBsAg携带者。某些消化道癌也会出现AFP升高现象。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135156, encodeId=6fb7135156cc, content=孕妇血清或羊水AFP升高提示胎儿脊柱裂、无脑症、食管atresia或多胎,AFP降低(结合孕妇年龄)提示未出生的婴儿有Down’s综合征的危险性。正常参考值:0~15ng/ml, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:13:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135152, encodeId=802813515217, content=AFP值异常高者一般提示预后不佳,其含量上升则提示病情恶化。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135153, encodeId=f18913515321, content=通常手术切除肝癌后二个月,AFP值应降至20ng/ml以下,若降的不多或降而复升,提示切除不彻底或有复发、转移的可能。在转移性肝癌中,AFP值一般低于350-400ng/ml。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:12:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135151, encodeId=a37c1351518f, content=AFP水平在一定程度上反应肿瘤的大小,其动态变化与病情有一定的关系,是显示治疗效果和预后判断的一项敏感指标。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:11:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135150, encodeId=ed6e135150b5, content=AFP含量显著升高一般提示原发性肝细胞癌,70~95%患者的AFP升高,越是晚期,AFP含量越高,但阴性并不能排除原发性肝癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:10:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135149, encodeId=cf9213514991, content=AFP是早期诊断原发性肝癌最敏感、最特异的指标,适用于大规模普查。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:09:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135148, encodeId=66001351483a, content=胆管乳头状瘤为什么AFP也高。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sun Sep 25 19:07:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124405, encodeId=d04f1244053c, content=胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Tue Sep 13 09:31:00 CST 2016, time=2016-09-13, status=1, ipAttribution=)]
    2016-09-13 邓启付

    胆管内乳头状瘤鉴别诊断主要有胆管内结石,胆管癌,胆管囊腺瘤或囊腺癌。

    0

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