Ballesteros Ruiz Cristina, Álvarez-Maestro Mario, Aguilera Bazán Alfredo, Martínez-Piñeiro Luis
Servicio de Urología. Hospital Universitario La Paz. Madrid. España.
Arch Esp Urol. 2022 Mar;75(2):165-172.
The use of prostatespecific antigen (PSA) is useful for the diagnosis ofprostate cancer. Its main limitation is its low specificity,which has led to the search for new biomarkersin order to identify clinically significant prostatecancer and to reduce overdiagnosis and overtreatment.The aim of this article is to summarize the currentliterature on urinary biomarkers used in thediagnosis of prostate cancer.A PubMed-based literature search was conductedup to December 2020. We selected the most recentand relevant original articles, clinical trials and reviewsthat have provided relevant information onthe use of biomarkers.In this review, we have discussed four importanturinary biomarkers useful for prostate cancer diagnosis:PCA3, Select MDX, ExoDX, TMPRSS2:ERG.
The use of urinary biomarkers hasimproved of clinically significant prostate cancerdiagnosis. Their use reduces the number of unnecessarybiopsies and avoids overtreatment of indolentprostate cancer.
前列腺特异性抗原(PSA)的使用对前列腺癌的诊断很有用。其主要局限性在于特异性较低,这促使人们寻找新的生物标志物,以识别具有临床意义的前列腺癌,并减少过度诊断和过度治疗。本文的目的是总结目前关于用于前列腺癌诊断的尿液生物标志物的文献。截至2020年12月,我们在PubMed上进行了文献检索。我们选择了提供有关生物标志物使用相关信息的最新且相关的原创文章、临床试验和综述。在本综述中,我们讨论了四种对前列腺癌诊断有用的重要尿液生物标志物:PCA3、Select MDX、ExoDX、TMPRSS2:ERG。结论:尿液生物标志物的使用改善了具有临床意义的前列腺癌诊断。它们的使用减少了不必要活检的数量,并避免了对惰性前列腺癌的过度治疗。