Table 2.
Currently used and investigational serum tumour markers[101]
Markers | Character | Cut-off level | Sensitivity | Specificity | Comments |
AFP | Oncofoetal glycoprotein | 10-16 ng/dL | 60%-80% | 70%-90% | Poor marker alone |
20 ng/dL | 39%-66% | 76%-97% | |||
AFP-L3 | AFP variant (subtype) | 10% | 39.9% | 93.4% | Useful in combination |
15% | 36.1%-96% | 92%-99.5% | with other markers | ||
GP73 | Golgi-specific membrane protein | 10 relative units | 69% | 86% | Promising marker |
GPC3 | Oncofoetal glycoprotein | 2 ng/dL | 51% | 90% | Limited utility as a marker |
DCP | Abnormal prothrombin | 40 mAU/mL | 48%-62% | 81%-98% | Useful in combination |
HS-GGT | Abnormal prothrombin | 5.5 IU/mL | 43.8%-74% | Not available | Non specific |
AFU | Lysosomal enzyme | 870 nmol/mL per hour | 82% | 71% | Lower specificity and poor marker |
AFP: Alpha-fetoprotein; AFP-L3: Lens culinaris-reactive AFP; GP73: Golgi protein 73; GPC3: Glypican-3; DCP: Des-gamma-carboxyprothrombin; GGT: Gamma-glutamyl transferase; AFU: Alpha-L-fucosidase.