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肾肿瘤的生物标志物:现状与临床前景

Biomarkers of Renal Tumors: the Current State and Clinical Perspectives.

作者信息

Golovastova Marina O, Korolev Dmitry O, Tsoy Larisa V, Varshavsky Vladimir A, Xu Wan-Hai, Vinarov Andrey Z, Zernii Evgeni Yu, Philippov Pavel P, Zamyatnin Andrey A

机构信息

Department of Cell Signaling, Belozersky Institute of Physico-Chemical Biology, Lomonosov Moscow State University, 119991, Moscow, Russia.

Institute of Uronephrology and Human Reproductive Health, Sechenov First Moscow State Medical University, 119991, Moscow, Russia.

出版信息

Curr Urol Rep. 2017 Jan;18(1):3. doi: 10.1007/s11934-017-0655-1.

Abstract

Renal cell carcinoma (RCC) ranks the first death rate among the urogenital tumors, whereas its incidence follows the incidences of prostate and bladder cancer. The diagnosis of RCC at early stages allows immediately undertaking appropriate treatment, which significantly increases patients' survival rate. Early and accurate diagnosis avoids inadequate treatment, provides the disease progression forecast, and permits to apply more efficient therapy. Unfortunately, the small renal tumors are usually asymptomatic resulting in the late diagnosis and, therefore, low efficacy of treatment. Thus, sensible and preventive biomarkers are essential for early RCC detection and monitoring of its progression. So far, many attempts were performed aimed at recognizing novel informative kidney tumor biomarkers applicable for early detection of the disease and possessing prognostic and predictive capabilities. This review summarizes recent advances in renal tumor biomarkers recognition, their diagnostic and prognostic values, and clinical feasibility.

摘要

肾细胞癌(RCC)在泌尿生殖系统肿瘤中死亡率排名第一,但其发病率仅次于前列腺癌和膀胱癌。早期诊断RCC可立即进行适当治疗,这显著提高了患者的生存率。早期准确诊断可避免不适当的治疗,提供疾病进展预测,并允许应用更有效的治疗方法。不幸的是,小肾肿瘤通常无症状,导致诊断延迟,因此治疗效果不佳。因此,灵敏且具有预防作用的生物标志物对于早期RCC检测及其进展监测至关重要。到目前为止,人们进行了许多尝试,旨在识别适用于该疾病早期检测且具有预后和预测能力的新型信息丰富的肾肿瘤生物标志物。本综述总结了肾肿瘤生物标志物识别的最新进展、它们的诊断和预后价值以及临床可行性。

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