Should I do enhanced CT for high levels of alpha fetoprotein

Whether high levels of alpha fetoprotein require enhanced CT should be determined based on specific circumstances. If there are liver mass lesions or high-risk factors for liver cancer, enhanced CT is usually recommended; if there are no clear indications, immediate examination may not be necessary. Elevated levels of alpha fetoprotein may be associated with hepatitis, cirrhosis, liver cancer, or germ cell tumors. When there is a significant increase in alpha fetoprotein and abnormal liver mass is detected by ultrasound, enhanced CT can clearly display the blood supply characteristics of the lesion, which is of key value in distinguishing liver cancer, hemangioma, etc. These patients require enhanced CT to evaluate tumor size, location, and extent of invasion, providing a basis for subsequent surgery or interventional treatment. Physiological elevation of alpha fetoprotein in pregnant women does not require excessive examination, but symptoms such as abdominal pain and vaginal bleeding should exclude pregnancy related diseases. When there is a mild increase in alpha fetoprotein without imaging abnormalities, regular follow-up and hepatitis virus screening are preferred. If the long-term hepatitis B carrier's alpha fetoprotein concentration continues to rise at a low level, it may consider to review the ultrasound and alpha fetoprotein monitoring every 3-6 months. Patients with testicular masses accompanied by elevated alpha fetoprotein should undergo scrotal ultrasound and chest CT examination for teratoma metastasis.

It is recommended that individuals with abnormal alpha fetoprotein seek timely medical attention in gastroenterology or hepatobiliary surgery, and complete basic examinations such as hepatitis markers, liver function, and abdominal ultrasound. Avoid requesting unnecessary radiological examinations on your own, and strictly follow medical advice to choose different imaging methods such as enhanced CT, MRI, or PET-CT.