Serum and urine biomarkers for detecting clinically significant prostate cancer

被引:35
作者
Becerra, Maria F. [1 ]
Atluri, Venkatasai S. [1 ]
Bhattu, Amit S. [1 ]
Punnen, Sanoj [1 ,2 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Urol, Miami, FL 33146 USA
[2] Univ Miami, Sylvester Comprehens Canc Ctr, Miami, FL 33146 USA
关键词
Prostate cancer; Clinically significant cancer; Urine biomarkers; Serum biomarkers; ANTIGEN; UTILITY; PANEL; PCA3;
D O I
10.1016/j.urolonc.2020.02.018
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Since the "prostate-specific antigen (PSA) era," we have seen an increase in unnecessary biopsies, which has ultimately lead to an overtreatment of low-risk cancers. Given the limitations of prostate-specific antigen and the invasive nature of prostate biopsy several serum and urinary biomarkers have been developed. In this paper, we provide a comprehensive review of the available biomarkers for the detection clinically significant prostate cancer namely PHI, 4Kscore, PCA3, MiPS, SelectMDx, ExosomeDX. Current literature suggests that these biomarkers can improve detection of clinically significant prostate cancer reducing overtreatment and making treatment strategies more cost-effective. Nevertheless, large prospective studies with head-to-head-comparisons of the available biomarkers are necessary to fully assess the potential of incorporating biomarkers in routine clinical practice. (c) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:686 / 690
页数:5
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