alpha-fetoprotein (AFP) test

Hi,

I had a Abnormal (AFP) test. My Dr. has not been able to pinpoint why it's high. I have had a couple of ultra-sounds for liver and Testicals. I did have epididymitis and it lasted on and off for a year. My ultra-sound did show stones (that whats the dr told me) in my testicals.
I feel great and healty right now.
He wants me to see a Urologist and speak to them about it. He says he does not understand why the blood test was abnormal.
What does a (AFP) test determine or is there other causes to make this test abnormal.
The Dr. got me thinking and seeking advice after he told me " I don't know what's going on"

thanks

[Kevin Pho, MD]

Hello - thanks for asking your question.

There are several cancers that are affected with an elevated AFP - specifically, the liver, testes or ovaries.  You have already had an ultrasound screen for these diseases.

If you have chronic liver infection or damage, a high AFP could simply be due to the disease itself.  If your AFP suddenly rises, or if it is very elevated, your doctor will usually ask for a study to look at your liver, such as an ultrasound exam, a CT scan, or an MRI scan.  

With this in mind, you may want to inquire about obtaining liver function tests to make sure that there are no chronic diseases of the liver that could be elevating the AFP.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.