High level afp. The center is not present. Relapse 2

[Darina]

To the child of 5 years. ds: krestsovo- a department.

The center is not present, put relapse 2 on a level afp.

[oleg sh]

Being not the expert, similar, that the medical tactics offered by your doctors in the given situation, nothing differs from tactics of foreign colleagues and is justified:



... 7 patients had relapse while on treatment or follow-up, 4 of these are disease-free with further therapy. In 6 of these children, serum AFP rose before there was clinical or radiological evidence of relapse. In 2 other patients, further chemotherapy was recommenced solely on the basis of rising serum AFP, these patients did not subsequently develop overt metastasis.



Misra D, Pritchard J, Drake DP, Kiely EM, Spitz L.

Markedly improved survival in malignant sacro-coccygeal teratomas - 16 years, experience.

Eur J Pediatr Surg. 1997 Jun; 7 (3):152-5

[sigala]

Only it is necessary to make even two analyses with an interval of mines of 2 weeks. And it is good to look for the center t.e to make KT and the Scintigraphy and a puncture of an osteal brain from three points