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A 28-year-old female asked:

child has elevated ast liver enzyme (1st test 58, 2nd test 43). dr says no worry. also has complex kidney cyst. is it a sign of cancer spread 2 liver?

2 doctor answers2 doctors weighed in
Dr. Jalal Zuberi
Pediatrics 45 years experience
Probably Not: AST/ALT can be elevated from several causes, including tissue and muscle injury. Moreover, the precise levels of these liver enzyme tests do not correlate well with the extent of liver problems or the prognosis. Trend in such values over a period of time would be helpful, along with interpretation by a m=physician experienced in such ailments.
Dr. Neigatha Graney
Pediatrics 37 years experience
Return To Doctor: Child's age/details of Kidney disorder unknown. Liver enzymes (AST, ALT) elevate with liver cell damage however AST elevations can also come from anomalies in other organs, (eg. heart, kidneys & more) & does not point specifically to liver. Your child's AST's are very mildly elevated. With so little info given, suggest you see doctor to discuss cancer fears & to better understand child's condition

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