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Doctor insights on: Elevated Alt And Ast Levels Cancer

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What does alk, ast, ALT high levels mean if they are high? Is it cancer?

What does alk, ast, ALT high levels mean if they are high? Is it cancer?

Not necessarily: These are liver function tests. When they are high, it means there is some degree of liver damage. High levels are seen in viral or alcohol hepatitis or drug toxicity with tylenol (acetaminophen) or some herbal preparations or fatty liver. Even though cancer can cause increased liver tests, other more common causes as listed above should be considered first. ...Read more

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Just had my 4th blood test for elevated AST & ALT since 3/13. Alt 101. Ast 58. 3 yrs from breast cancer &on tamoxifen. Shd I be getting some tests?

Just had my 4th blood test for elevated AST & ALT since 3/13. Alt 101. Ast 58. 3 yrs from breast cancer &on tamoxifen. Shd I be getting some tests?

Hard to tell: ..With the info provided. Are they high but stable or are they progressively going up? What other meds you take? Any concerning symptom? In a way, you are getting tests, your doc has opted to follow up your lfts periodically. I think you need to voice your concerns to him/her so that he/she goes over this and the future plan of attack. Best to you. ...Read more

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Bilirubin 1.7 ALT 114 AST 54 alp 108. I am on pravastatin could this cause this? Could it indicate liver cancer

Bilirubin 1.7 ALT 114 AST 54 alp 108. I am on pravastatin could this cause this? Could it indicate liver cancer

Drug effect: The findings you described are more likely to be due to the drugs you are taking. Liver cance is highly unlikely. Please discuss these with your doctor for possible change in the statin drug. ...Read more

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Are liver enzymes readings (ALT = 99 U/L and AST = 89 U/L) considered very high and alarming in a liver cancer patient?

Are liver enzymes readings (ALT = 99 U/L and AST = 89 U/L) considered very high and alarming in a liver cancer patient?

Depends: That depends on what the lab normal range is. (This varies lab to lab) Knowing prior values are also helpful in better interpretation. ...Read more

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Are liver enzym rdngs (ALT 99 U/L lab nrml 10-50 and AST 89 U/L lab nrml10-50) alarming in a liver cancer patient? Last results were 62 & 57 respctvly

Yes: Rising above normal is concerning, but this is a very small rise for liver cancer. Fever, alcohol, indolent hepatitis (esp C) and other meds can cause this. I have seen these levels in the hundreds of thousands in liver cancer patients ...Read more

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1 year ago radio kemio &histercect. She has abdominal burns in center at night pain in the left side ALT 12 ASt 18, ESR 84, wbc in urin 30 Is cancer?

1 year ago radio kemio &histercect. She has abdominal burns in center at night pain in the left side ALT 12 ASt 18, ESR 84, wbc in urin 30 Is cancer?

Cancer?: The question is why did your mom have chemotherapy and hysterectomy? This usually suggests the presence of a malignancy (cancer). If you are asking whether she still has it now there is not enuf info provided to answer that and you should discuss this with the treating doctor. Hope she is fine. ...Read more

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Can liver cancers go undetected in usg? Does ast/alt values has anything to do with hcc? Can u get liver failure without jaundice? I've hypoglycemia

Can liver cancers go undetected in usg? Does ast/alt values has anything to do with hcc? Can u get liver failure without jaundice? I've hypoglycemia

Not really: Liver failure refers to the rapid development of severe acute liver injury with impaired synthetic function and encephalopathy. Jaundice is one sign of synthetic dysfunction. Early on in the course of liver failure, jaundice may not be evident but blood work would be suggestive. ...Read more

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Liver Cancer patient SGPT (ALT)=84 U/L, SGOT (AST)=121 U/L, BILIRUBIN=10.91 with no bile duct obstrcton in Ultra Sound. Does this mean liver is failing?

Liver Cancer patient SGPT (ALT)=84 U/L, SGOT (AST)=121 U/L, BILIRUBIN=10.91 with no bile duct obstrcton in Ultra Sound. Does this mean liver is failing?

Can't tell w/ these.: The bilirubin level is high (whether direct or indirect bilirubin) & this can lead to jaundice. However, the TREND is more important than 1 lab value - without knowing your history & past lab results better, it is hard to determine. Also, liver "function" is also measured by cholesterol, complement, & coagulation tests (INR, PTT). Even with these blood tests, sometimes a biopsy is needed. TTYD. GL ...Read more

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I have stage4 breast cancer. Mets 2 bones. Alt/Ast twice normal range. Could I now have liver mets?

I have stage4 breast cancer. Mets 2 bones. Alt/Ast twice normal range. Could I now have liver mets?

Yes.: Breast cancer can metastasize to anywhere in the body but more normally spreads to bone, brain, liver. ...Read more

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I've burning pain throughout right abdomen & dizziness. Ast n ALT are normal, usg shows nothing abnormal. Post prandial blood sugar is 84. Liver cancer?

I've burning pain throughout right abdomen & dizziness. Ast n ALT are normal, usg shows nothing abnormal. Post prandial blood sugar is 84. Liver cancer?

Can't tell: Cancers are progressive and liver cancer can be either primary or 2ndary due to metastasis. Symptoms are more than what you described. The burning sensation can be a referred pain either be from other organs/structures. Check the skin if there are any shingles nearby. If there is any pain with palpitation, something is irritated or inflamed. You may need further workup if this continues. ...Read more

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Ct w/contrast. Low attenuation throughout the hepatic parenchyma. Blood is ALKP 90 ALT 45 AST 28 CRP 1.7. Do I have liver cancer?

Ct w/contrast. Low attenuation throughout the hepatic parenchyma. Blood is ALKP 90 ALT 45 AST 28 CRP 1.7. Do I have liver cancer?

Not the right tests: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the tests you reported on are not correct ones for diagnosing liver cancer. Serum alpha feto protein level may help. From the info you provided, it is unlikely that you have liver cancer. ...Read more

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What might cause elevated liver alt ast levels?

What might cause elevated liver alt ast levels?

Many conditions: Including Hepatitis of all forms, drug adverse effects, liver diseases, GB diseases, CHF, ETOH and etc ...Read more

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What do elevated AST and ALT levels mean?

Possibkle Hepatitis!: These are liver enzymes. They typically rise if you have liver ailments like hepatitis which commonly occurs due to virus infection or due to excessive alcohol use. You need to go see your doctor who can monitor the liver functions and guide you further. ...Read more

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I have elevated ast, ALT and GGT levels but I don't drink. What are other possible causes?

Liver enzymes: Sometimes this can be due to gallbladder problems/stones. It is common in women 20s-40s, especially if they are overweight. There is also fatty liver disease where your liver fails to process the dietary fats efficiently, common with obesity. Medication can be a cause, especially those metabolized by the liver. Infection and other inflammatory causes are possible. Your doctor can tell you more. ...Read more

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My nine yr old has elevated levels of ESR, AST & ALT also anemic she complains of intermittent pain on her left side?

My nine yr old has elevated levels of ESR, AST & ALT also anemic she complains of intermittent pain on her left side?

Anemia: At her young age it could mean that she has some form of destruction of her red cells. She possibly has an enlarged spleen causing pain left abdomen.
need to see a blood specialist --hemtologist ...Read more

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Sternum and tailbone pain and elevated AST and ALT and an alp level of 129, what could it be?

Sternum and tailbone pain and elevated AST and ALT and an alp level of 129, what could it be?

Liver enymes: It is time for a full comprehensive medical exam with bloodwork and liver monitoring. I think your sternum and coccyx pain are not related; however must be examined too. Do not ignore these issues. ...Read more

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I have elevated levels of ALT (sgpt) and AST (sgot). What does that mean?

I have elevated levels of ALT (sgpt) and AST (sgot). What does that mean?

Liver function tests: Alt and ast, prior noted as SGOT and sgpt, are part of a group of enzyme known as transaminases. They rise if something is inflaming the liver, such as a viral illness, mononucleosis, alcohol toxic effects, obesity or diabetes causing fatty infiltration in liver, adverse drug effects from a variety of medications... ...Read more

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Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts. Is this extremely high levels?

Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts. Is this extremely high levels?

Liver Disease: One can go into liver failure if their enzymes are more than five times normal. Your labs are four to eight times normal. This is very dangerous and must be addressed urgently to determine the cause of the problem. ...Read more

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Elevated AST=43 and ALT=83 levels with diffused fatty liver and slightly smaller liver size. Is it an early sign of cirrhosis & how can it be treated?

Elevated AST=43 and ALT=83 levels with diffused fatty liver and slightly smaller liver size. Is it an early sign of cirrhosis & how can it be treated?

Manage it: This is worrisome and while this doesn't qualify as any kind of cirrhosis, you could end up with it. I trust hepatitis c, Wilson's, and a few others have been ruled out. Stay trim and fit and ask about meds. ...Read more

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AST/ALT normal 2 weeks ago. 4 grams Tylenol (acetaminophen)/day for pain from abscess I&D. New test elevated levels AST - 50: ALT 163. Tylenol (acetaminophen) cause? Acute only?

AST/ALT normal 2 weeks ago. 4 grams Tylenol (acetaminophen)/day for pain from abscess I&D. New test elevated levels AST - 50: ALT 163. Tylenol (acetaminophen) cause? Acute only?

Tylenol (acetaminophen): The recommended daily dose of tylenol (acetaminophen) is no more than 3 grams. I would stop the tylenol (acetaminophen) and recheck the liver tests. It could be tylenol (acetaminophen) liver toxicity. ...Read more

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2 weeks ago AST (18)/ALT (49) normal. After surgery taking Tylenol (acetaminophen) (4 grams/day for pain. Levels now elevated AST (50) /ALT (163). Tylenol (acetaminophen) cause?

2 weeks ago AST (18)/ALT (49) normal. After surgery taking Tylenol (acetaminophen) (4 grams/day for pain. Levels now elevated AST (50) /ALT (163). Tylenol (acetaminophen) cause?

Not necessarily: Any number of medications used during surgery could alter liver enzymes. Tylenol (acetaminophen) at the dose you used is generally safe. The enzyme levels are not too high and you may wish to repeat these in about 6 months. In the meantime do not drink alcohol at all. ...Read more

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My nine yr old has elevated levels of ESR, AST & ALT also anemic she has hashimoto syndrome she complains of intermittent pain on her left side?

My nine yr old has elevated levels of ESR, AST & ALT also anemic she has hashimoto syndrome she complains of intermittent pain on her left side?

Needs investigation: I thought Hashimoto's disease involves the thyroid. It would not have anything to do with the elevated AST and ALT. These enzymes suggest some kind of liver involvement. An elevated ESR may mean that there is some inflammatory process going on in the body, but the intermittent pain on the left side does not fit with any of the above. Bottom line, your child's doctor will have to check him/her out ...Read more

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Should I be concerned about a WBC of 10.5 and a lymphocyte level of 4077? Calcium, ALT & AST levels are also elevated. No symptoms.

Liver tests worry me: White cells / lymphocytes -- not concerned here. Calcium -- concerned only if well above reference range. Alt / ast high? Always concerning. Hope you'll repeat this -- perhaps one of your medications is raising them, trusting it's not alcohol, you may be in for a check for hepatitis, hemochromatosis, wilson's and a few others. ...Read more

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Hello, what could cause elevated t. Bili (2.4) with normal AST and ALT levels (25/ 28 respectively?) I have had some oily loose stools also recently.

Hello, what could cause elevated t. Bili (2.4) with normal AST and ALT levels (25/ 28 respectively?) I have had some oily loose stools also recently.

Doctor can evaluate: A primary care doctor can evaluate to see if there is a medical issue, such as a liver or gallbladder issue, causing elevated total bilirubin. Of course, one question is why was the blood test done? The doctor, with more details, and can provide an answer. ...Read more

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What causes a high vitamin d level along with high ast, ALT & alp? On pentasa, which can cause elevated ast/alt, but continues to rise & alp now hi.

Find cause: I'm not concerned about the vitamin d. Many people your age have high alk phos without any real problem. If stopping alcohol and unneeded rx's did not return ast/alt to a good level, time to rule out hepatitis b ; c, autoimmune hepatitis, hemochromatosis, wilson's (doubt at your age), autoimmune hepatitis (can be) ; consider if you may have metabolic syndrome / want to exercise more. ...Read more

Sgpt (Definition)

Liver enzyme that has a metabolic function, its elevated when ...Read more


Sgot (Definition)

Has metabolic function, elevated if ...Read more