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上尿路尿路上皮癌的输尿管镜活检及尿液生物标志物的作用

Ureteroscopic biopsy of upper tract urothelial carcinoma and role of urinary biomarkers.

作者信息

Smentkowski Katherine E, Bagley Demetrius H, Hubosky Scott G

机构信息

Department of Urology Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

出版信息

Transl Androl Urol. 2020 Aug;9(4):1809-1814. doi: 10.21037/tau.2019.11.28.

DOI:10.21037/tau.2019.11.28
PMID:32944544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7475689/
Abstract

Ureteroscopic biopsy is an integral part of diagnosis of urothelial carcinoma of the upper urinary tract. It can be a technical challenge, but diagnostic rates have improved remarkably with refinements in surgical technique and specimen processing. Cytology aids with diagnosis and other urinary biomarkers continue to evolve, which may help further stratify patients for treatment. The current literature on the ureteroscopic biopsy and role of urinary biomarkers is reviewed and summarized below.

摘要

输尿管镜活检是上尿路尿路上皮癌诊断的一个重要组成部分。这可能是一项技术挑战，但随着手术技术和标本处理的改进，诊断率有了显著提高。细胞学有助于诊断，其他尿液生物标志物也在不断发展，这可能有助于进一步对患者进行治疗分层。以下对目前关于输尿管镜活检和尿液生物标志物作用的文献进行综述和总结。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6366/7475689/91849cd6bb69/tau-09-04-1809-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6366/7475689/617edd459466/tau-09-04-1809-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6366/7475689/91849cd6bb69/tau-09-04-1809-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6366/7475689/617edd459466/tau-09-04-1809-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6366/7475689/91849cd6bb69/tau-09-04-1809-f2.jpg

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1
Ureteroscopic biopsy of upper tract urothelial carcinoma and role of urinary biomarkers.上尿路尿路上皮癌的输尿管镜活检及尿液生物标志物的作用
Transl Androl Urol. 2020 Aug;9(4):1809-1814. doi: 10.21037/tau.2019.11.28.
2
[Clinical, ureteroscopic and photodynamic diagnosis of urothelial carcinomas of the upper tract: state-of-the art review for the yearly scientific report of the French National Association of Urology].[上尿路尿路上皮癌的临床、输尿管镜及光动力诊断：法国国家泌尿外科学会年度科学报告的最新综述]
Prog Urol. 2014 Nov;24(15):977-86. doi: 10.1016/j.purol.2014.07.012. Epub 2014 Sep 8.
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Ureteroscopic and percutaneous management of upper tract urothelial carcinoma (UTUC): systematic review.经输尿管镜和经皮处理上尿路尿路上皮癌（UTUC）：系统综述。
BJU Int. 2012 Sep;110(5):614-28. doi: 10.1111/j.1464-410X.2012.11068.x. Epub 2012 Apr 3.
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Diagnostic role of urine cytology and ureteroscopic biopsies in detection of high grade upper tract urothelial carcinoma.尿液细胞学检查和输尿管镜活检在高级别上尿路尿路上皮癌检测中的诊断作用。
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Significance of ureteroscopic biopsy grade in patients with upper tract urothelial carcinoma.输尿管镜活检分级在上尿路尿路上皮癌患者中的意义
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Ureteroscopic biopsy of upper tract urothelial carcinoma: improved diagnostic accuracy and histopathological considerations using a multi-biopsy approach.上尿路尿路上皮癌的输尿管镜活检：采用多活检方法提高诊断准确性及组织病理学考量
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Endoscopic management of upper tract urothelial carcinoma: Improved prediction of invasive cancer using a ureteroscopic scoring model.上尿路尿路上皮癌的内镜治疗：使用输尿管镜评分模型改进浸润性癌的预测
Surg Oncol. 2017 Sep;26(3):252-256. doi: 10.1016/j.suronc.2017.04.003. Epub 2017 Apr 17.

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J Clin Med. 2024 Nov 2;13(21):6593. doi: 10.3390/jcm13216593.
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Diagnostic Value of Urine Cytology in Pharmacologically Forced Diuresis for Upper Tract Urothelial Carcinoma Diagnosis and Follow-Up.尿液细胞学检查在药物强制利尿对上尿路尿路上皮癌诊断及随访中的诊断价值
Cancers (Basel). 2024 Feb 12;16(4):758. doi: 10.3390/cancers16040758.

本文引用的文献

1
Utility of The Paris System for Reporting Urinary Cytology in upper urinary tract specimens.巴黎系统在上尿路标本尿液细胞学报告中的应用
J Am Soc Cytopathol. 2018 Nov-Dec;7(6):311-317. doi: 10.1016/j.jasc.2018.07.006. Epub 2018 Jul 25.
2
Diagnostic potential of TERT promoter and FGFR3 mutations in urinary cell-free DNA in upper tract urothelial carcinoma.尿液游离 DNA 中 TERT 启动子和 FGFR3 突变在上尿路尿路上皮癌中的诊断潜能。
Cancer Sci. 2019 May;110(5):1771-1779. doi: 10.1111/cas.14000. Epub 2019 Apr 7.
3
Emerging biomarkers for the diagnosis and monitoring of urothelial carcinoma.
用于尿路上皮癌诊断和监测的新兴生物标志物。
Res Rep Urol. 2018 Dec 14;10:251-261. doi: 10.2147/RRU.S173027. eCollection 2018.
4
The utility of upper urinary tract urine cytology before and after application of the Paris system.巴黎系统应用前后上尿路尿液细胞学检查的效用
Diagn Cytopathol. 2019 May;47(5):421-427. doi: 10.1002/dc.24127. Epub 2018 Dec 19.
5
Comparison of biopsy devices in upper tract urothelial carcinoma.比较上尿路尿路上皮癌的活检设备。
World J Urol. 2019 Sep;37(9):1899-1905. doi: 10.1007/s00345-018-2586-y. Epub 2018 Dec 17.
6
The diagnostic ureteroscopy before radical nephroureterectomy in upper urinary tract urothelial carcinoma is not associated with higher intravesical recurrence.在上尿路尿路上皮癌行根治性肾输尿管切除术之前行诊断性输尿管镜检查与膀胱内复发率升高无关。
World J Surg Oncol. 2018 Jul 9;16(1):135. doi: 10.1186/s12957-018-1411-9.
7
Improved correlation of urinary cytology specimens using The Paris System in biopsy-proven upper tract urothelial carcinomas.采用巴黎系统提高活检证实的上尿路尿路上皮癌尿细胞学标本的相关性。
Cancer Cytopathol. 2018 Jul;126(7):498-504. doi: 10.1002/cncy.22005. Epub 2018 Jun 21.
8
Detection of urothelial carcinoma, upper tract urothelial carcinoma, bladder carcinoma, and urothelial carcinoma with gross hematuria using selected urine-DNA methylation biomarkers: A prospective, single-center study.利用选定的尿液DNA甲基化生物标志物检测尿路上皮癌、上尿路尿路上皮癌、膀胱癌及伴肉眼血尿的尿路上皮癌：一项前瞻性单中心研究。
Urol Oncol. 2018 Jul;36(7):342.e15-342.e23. doi: 10.1016/j.urolonc.2018.04.001. Epub 2018 Apr 26.
9
Multi-institutional Evaluation of Upper Urinary Tract Biopsy Using Backloaded Cup Biopsy Forceps, a Nitinol Basket, and Standard Cup Biopsy Forceps.使用后装杯状活检钳、镍钛诺篮和标准杯状活检钳对上尿路活检进行多机构评估。
Urology. 2018 Jul;117:89-94. doi: 10.1016/j.urology.2018.03.040. Epub 2018 Apr 6.
10
Discordance between Ureteroscopic Biopsy and Final Pathology for Upper Tract Urothelial Carcinoma.输尿管镜活检与上尿路尿路上皮癌最终病理的不相符。
J Urol. 2018 Jun;199(6):1440-1445. doi: 10.1016/j.juro.2018.02.002. Epub 2018 Feb 7.