An analysis of the UNOS liver transplant registry: High serum alpha‐fetoprotein does not justify an increase in MELD points for suspected hepatocellular carcinoma
Nyingi Kemmer, Guy Neff, Tiffany Kaiser, Victoria Zacharias, Mark Thomas, Amit Tevar, Supriya Satwah, Rakesh Shukla, Joseph Buell – 26 September 2006 – The current United Network for Organ Sharing (UNOS) criteria for liver transplantation gives priority to patients with elevated serum alpha‐fetoprotein (AFP; ≥ 500 ng/mL) in the absence of radiologic evidence of a hepatic mass. Reports have shown that an elevated serum AFP is a poor diagnostic indicator for hepatocellular carcinoma (HCC) in patients with cirrhosis.