Unit of Urology, Department of Medical, Oral and Biotechnological Sciences, SS. Annunziata Hospital, "G. d'Annunzio University", Chieti, Italy.
Department of Medical, Oral and Biotechnological Sciences, University "G. D'Annunzio" Chieti-Pescara, Via dei Vestini, Campus universitario, 66100, Chieti, Italy.
Curr Urol Rep. 2021 Apr 22;22(6):31. doi: 10.1007/s11934-021-01050-0.
We aim to summarize the current state of art about the possible use of biomarkers for predicting renal cell carcinoma (RCC) recurrence after curative treatment. In addition, we aim to provide a snapshot about the clinical implication of biomarkers use for follow-up planification.
A wide variety of biomarkers have been proposed. RCC biomarkers have been individuated in tumoral tissue, blood, and urine. A variety of molecules, including proteins, DNA, and RNA, warrant a good accuracy for RCC recurrence and progression prediction. Their use in prediction models might warrant a better patients' risk stratification. Future prognostic models will probably include a combination of classical features (tumor grade, stage, etc.) and novel biomarkers. Such models might allow a more accurate treatment and follow-up planification.
本文旨在总结目前关于生物标志物在预测根治性治疗后肾细胞癌(RCC)复发中的可能应用的最新研究进展。此外,本文还旨在提供生物标志物在随访计划中的临床应用意义的概述。
已经提出了多种生物标志物。RCC 标志物已在肿瘤组织、血液和尿液中被鉴定出来。包括蛋白质、DNA 和 RNA 在内的多种分子对 RCC 复发和进展的预测具有较好的准确性。它们在预测模型中的应用可能有助于更好地对患者进行风险分层。未来的预后模型可能包括经典特征(肿瘤分级、分期等)和新型生物标志物的组合。这样的模型可能会允许更准确的治疗和随访计划。