“…High molecular weight (fast moving) AP isoenzyme correlates well with the presence of liver métastases, and appears in serum due, in part, to local biliary stasis [27,28,30,91,92], Several large scries involving patients with primary and secondary liver cancer [93][94][95][96] have shown that 5'-nucleotide phospho diesterase isoenzyme V has a sensitivity of 88% in the detection of hepatoma, and a sim ilar sensitivity in detecting patients with he patic métastasés. Abnormal values for a-fetoprotein were only found in 40% of the cases, and the enzyme test was especially valuable in the remaining 60%.…”