Serum Alpha-Fetoprotein (AFP)

Overview and Clinical Significance

Serum Alpha-Fetoprotein (AFP) is a glycoprotein primarily produced by the fetal liver and yolk sac during development. In adults, AFP serves as a tumor marker, aiding in the diagnosis and monitoring of certain cancers and liver conditions.

Clinical Significance

  • Liver Cancer & Tumors: Elevated AFP levels are commonly associated with hepatocellular carcinoma (HCC) and germ cell tumors.
  • Prenatal Screening: AFP testing is used in pregnancy to assess the risk of neural tube defects (e.g., spina bifida) and chromosomal abnormalities.
  • Germ Cell Tumors: High AFP levels may indicate testicular, ovarian, or other non-seminomatous germ cell tumors.
  • Liver Disease & Cirrhosis: Chronic liver conditions, including cirrhosis and hepatitis, can lead to mild AFP elevation.
  • Cancer Monitoring & Treatment Response: AFP levels help track tumor progression and treatment effectiveness.

AFP testing is widely used in oncology, hepatology, and prenatal diagnostics, providing valuable insights into tumor biology, fetal development, and liver health.

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Increased Alpha-Fetoprotein (AFP)

  • Adult CancersElevated AFP in nonpregnant adults is a classic tumor marker for liver cancers (such as hepatocellular carcinoma) and certain germ cell tumors (e.g., yolk sac tumors).
  • Chronic Liver DiseaseChronic hepatitis or cirrhosis (including autoimmune hepatitis) can sometimes raise AFP levels, even before malignancy develops.
  • Pregnancy Abnormalities – When measured as part of a maternal serum screening, abnormally high AFP may suggest neural tube defects or abdominal wall defects in the developing fetus.

Decreased Alpha-Fetoprotein (AFP)

  • Prenatal ConcernsUnusually low AFP levels (when interpreted alongside other markers) may be associated with chromosomal abnormalities, such as Down syndrome.

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Related

Age-Related Alpha-Fetoprotein (AFP) Variations

  • Fetal PeriodHigh AFP is entirely normal and essential for developmental screening.
  • Adulthood – In adults, an unexpected rise in AFP is a red flag for malignancy or severe liver damage, emphasizing its role as a tumor marker.

All Markers