在前列腺癌查中,多种二次组合测试的临床效用
John V Dudinec1, Sabrina M Wang1, Srinath Kotamarti1
1Department of Urology and Duke Cancer Institute, Duke University, Durham, North Carolina, USA.
The Canadian journal of urology
|June 21, 2023
概括
同时进行前列腺健康指数 (PHI) 和ExosomeDx前列腺智商 (EPI) 测试可以改善前列腺癌的检测. 综合的阳性结果表明风险更高,可能指导PSA升高的男性的活检决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 生物标志物研究 生物标志物研究
背景情况:
- 提升的前列腺特异性抗原 (PSA) 需要进一步评估前列腺癌.
- 结合前列腺健康指数 (PHI) 和ExosomeDx前列腺智商 (EPI) 的临床实用性尚未确定.
研究的目的:
- 评估PHI和EPI同步测试在男性高PSA的性能.
- 评估综合生物标志物结果对活检建议和结果的影响.
主要方法:
- 对162名患者进行PHI和EPI测试的回顾性分析.
- 根据EPI和PHI的综合阳性/阴性结果,分类成四组.
- 在不同群体中比较人口统计数据,活检建议和病理学.
主要成果:
- 同时呈阳性PHI和EPI与75%的前列腺癌检测率有关,其中54.2%是格里森≥7.
- 在EPI和PHI阳性之间观察到较差的一致性 (科恩卡帕=0.19).
- 年龄,PSA水平和活检建议在组合测试结果组之间有显著差异.
结论:
- 同时积极的PHI和EPI结果表明前列腺癌的风险增加.
- 结合测试可能会影响活检建议和PSA升高的男性的遵守.
- 进一步的研究是有必要的,以优化这些生物标志物在前列腺癌诊断中的使用.
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