Hi, Mike! The AFP is a diagnostic tool, but a higher than normal range does not definitely mean that you have liver cancer.
Because your levels were pretty low until this last result, I wouldn't get upset over it. However, I hope your doctor follows up with an MRI with Gadolinium contrast or, at the least, a CT scan with contrast. If he doesn't mention this, tell him you want a scan. This is what I would do. If you do have HCC, it's best to get it early and do treatment (typically chemoembolization.)
Are you on the transplant list? If so, it will buy you more points on your MELD score if it is HCC.
Forum moderator - Hepatitis
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland
Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL