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World J Gastroenterol ; 25(30): 4199-4212, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31435173

RESUMO

The huge prognostic difference between early and late stage hepatocellular carcinoma (HCC) is a challenging diagnostic problem. Alpha-fetoprotein is the mostly widely used biomarker for HCC used in the clinic, however it's sensitivity and specificity of is not optimal. The development and application of multiple biotechnologies, including next generation sequencing, multiple "omics" data, that include genomics, epigenomics, transcriptomics, proteomics, metabolomics, metagenomics has been used for HCC diagnostic biomarker screening. Effective biomarkers/panels/models have been identified and validated at different clinical levels. A large proportion of these have a good diagnostic performance for HCC, especially for early HCC. In this article, we reviewed the various HCC biomarkers derived from "omics" data and discussed the advantages and disadvantages for diagnosis HCC.


Assuntos
Biomarcadores Tumorais/análise , Carcinoma Hepatocelular/diagnóstico , Biologia Computacional/métodos , Ensaios de Triagem em Larga Escala/métodos , Neoplasias Hepáticas/diagnóstico , Biomarcadores Tumorais/genética , Biomarcadores Tumorais/metabolismo , Carcinoma Hepatocelular/genética , Carcinoma Hepatocelular/metabolismo , Ensaios Clínicos como Assunto , Detecção Precoce de Câncer/métodos , Humanos , Neoplasias Hepáticas/genética , Neoplasias Hepáticas/metabolismo , Valor Preditivo dos Testes , Sensibilidade e Especificidade
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