Department of Urology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland.
Int J Mol Sci. 2022 Aug 2;23(15):8597. doi: 10.3390/ijms23158597.
The non-muscle invasive bladder cancer tends to recur and progress. Therefore, it requires frequent follow-ups, generating costs and making it one of the most expensive neoplasms. Considering the expensive and invasive character of the current gold-standard diagnostic procedure, white-light cystoscopy, efforts to find an alternative method are ongoing. Although the last decade has seen significant advancements in urinary biomarker tests (UBTs) for bladder cancer, international guidelines have not recommended them. Currently, the paramount urgency is to find and validate the test with the best specificity and sensitivity, which would allow for the optimizing of diagnosis, prognosis, and a treatment plan. This review aims to summarise the up-to-date state of knowledge relating to UBTs and new developments in the detection, prognosis, and surveillance of bladder cancer and their potential applications in clinical practice.
非肌肉浸润性膀胱癌易于复发和进展。因此,它需要频繁的随访,产生费用,使其成为最昂贵的肿瘤之一。鉴于当前金标准诊断程序——白光膀胱镜检查具有昂贵和侵入性的特点,人们一直在努力寻找替代方法。尽管过去十年中,用于膀胱癌的尿液生物标志物检测(UBT)取得了重大进展,但国际指南并未推荐这些检测。目前,当务之急是找到并验证具有最佳特异性和敏感性的检测方法,这将有助于优化诊断、预后和治疗计划。本文综述了 UBT 以及膀胱癌检测、预后和监测方面的新进展及其在临床实践中的潜在应用的最新知识。