 [ Symptoms ] does spermatocele need to be rechecked over time with an ultrasound to verify it has not turned cancerous  a few years ago i was diagnosed as having spermatocele at the time of the diagnosis they performed an ultrasound to verify that it was not cancerous it has grown in size over the last few years and i was wondering if this condition needs rechecked periodically to be sure it does not develop into cancer [ Disease ] com ggt is usually elevated in liver transplant recipients that experience good outcomes these paradoxical findings may be explained by the time dependent role of ggt in glutathione metabolism immediate postoperative elevation of ggt may indicate a physiological systemic response while chronic elevation reflects a pathological response alk p enzyme is commonly increased after liver transplant recipients which is normal and research suggests no need for regular analysis of it post transplantation