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Alpha-Fetoprotein (AFP) Tumor Marker, Serum/Plasma — Substance Concentration

Published: August 9, 2026Updated: August 16, 2026

This blood test measures alpha-fetoprotein (AFP), a protein that may be elevated with certain liver cancers, other tumors, or liver disease.

Quick summary

["An elevated AFP result is not diagnostic of cancer and must be interpreted with your medical history, examination, and other tests."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
53960-1
Short code
AFP-TM SerPl-sCnc
Synonyms
AFP-TM SerPl-sCnc
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

The alpha-fetoprotein (AFP) test measures the amount of AFP in serum or plasma. AFP is a protein made mainly by the liver and is commonly used as a tumor marker, although it is also evaluated in other clinical settings, including some pregnancy screenings.

Why might I need this test?

A clinician may order this test to help evaluate a liver mass, monitor someone with a history of liver cancer, assess response to treatment, or investigate unexplained liver findings. In pregnancy, AFP may be tested as part of screening for certain fetal conditions.

How is the test performed?

A blood sample is collected, and the serum or plasma is analyzed for AFP using a laboratory assay. The specific laboratory method may vary, and the result is usually compared with information that is appropriate for your age, pregnancy status, and clinical situation.

How do I prepare for the test?

Fasting is usually not required for this test, although you should follow any instructions from your clinician or laboratory. Tell the healthcare team if you are pregnant because AFP results are interpreted differently during pregnancy.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected AFP level may occur with some liver cancers, other tumors, and certain noncancerous liver conditions such as cirrhosis or hepatitis. AFP can also change in pregnancy, so pregnancy status and clinical context are important. A single elevated result does not establish a cancer diagnosis and is usually evaluated with imaging, liver tests, medical history, and repeat testing when appropriate.

Short name

AFP Tumor Marker

Frequently asked questions

Does an elevated AFP result mean I have cancer?
No. Elevated AFP can occur with cancer, but it can also result from other liver conditions, pregnancy, and less common benign causes. Your clinician will interpret the result with your other findings.
Is fasting required before the AFP test?
Fasting is generally not required, but follow the specific instructions provided by your clinician or laboratory.
Why might AFP be measured during pregnancy?
Maternal blood AFP is sometimes used as part of screening for certain fetal conditions. Results are interpreted using pregnancy-specific information and are different from AFP results used to evaluate tumors.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy