ABSTRACT The PIVKA-II Test, also known as Des-gamma-carboxy Prothrombin (DCP), is an important biochemical marker used primarily in the diagnosis and monitoring of liver diseases. It is widely recognized as a tumor marker for Hepatocellular Carcinoma, the most common type of primary liver cancer. Normally, PIVKA-II levels remain low in healthy individuals, typically below 40 mAU/mL. However, elevated levels may…