%0 Journal Article
%T Elevated ¦Á-Fetoprotein in the Absence of Carcinoma Caused by Relapse of Hepatitis C Viral Infection after Liver Transplantation
%A Hiroto Egawa
%A Katsutoshi Tokushige
%A Masakazu Yamamoto
%A Takaomi Sagawa
%A Tomomi Kogiso
%A Yoshihito Kotera
%J Archive of "ACG Case Reports Journal".
%D 2018
%R 10.14309/crj.2018.103
%X We report a rare case of marked elevation of ¦Á-fetoprotein in the absence of hepatocellular carcinoma caused by a relapse of hepatitis C virus (HCV) infection. A 58-year-old man underwent liver transplantation to treat hepatocellular carcinoma caused by HCV-related liver cirrhosis. The HCV was of genotype 2a, and the ribonucleic acid titer was >8.0 log IU/mL. Direct-acting antiviral drugs were prescribed for 12 weeks; however, the HCV infection relapsed after treatment had ended, and ¦Á-fetoprotein levels increased to 8,981 ng/mL. Imaging did not reveal any malignancies. The patient initiated interferon therapy, at which time AFP levels decreased, and the HCV was successfully cleared
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317834/