Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

Alpha-fetoprotein (AFP) is a clinically useful tumor marker for which combination of tumors?

  • A Seminoma and prostatic carcinoma
  • B Choriocarcinoma and embryonal carcinoma
  • C Hepatocellular carcinoma and yolk sac tumor
  • D Teratoma and dysgerminoma
Correct answer: C. Hepatocellular carcinoma and yolk sac tumor

Explanation

AFP is elevated in hepatocellular carcinoma and yolk sac (endodermal sinus) tumors of the gonad. Seminoma and dysgerminoma are AFP-negative. Choriocarcinoma secretes beta-hCG not AFP. Embryonal carcinoma can have modest AFP elevation but choriocarcinoma does not.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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