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Thank you for that additional information.
It is hard to say for certain given the data you have provided.
I would suggest that the patient go to a large university hospital and be evaluated by a Professor of Medicine for a second opinion.
Does this make sense to you?
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I will opt out so that a physician better versed in this complex issue can assist you.
Thanks for your question.
Basically increased serum concentrations of AFP might also be found in chronic hepatitis and liver cirrhosis and these conditions may not sometimes be detectable by imaging studies. Hence at this stage the next investigation which may be done to know the cause for the elevation would be a fine needle aspiration cytology of the liver or a liver biopsy.
If that is the case and if this was due to post viral hepatitis, then I would agree with your doctor and just monitoring would be fine.