Farha MW, Salami SS. Biomarkers for prostate cancer detection and risk stratification.
Ther Adv Urol 2022;
14:17562872221103988. [PMID:
35719272 PMCID:
PMC9201356 DOI:
10.1177/17562872221103988]
[Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 05/09/2022] [Indexed: 11/19/2022] Open
Abstract
Although prostate cancer (PCa) is the most commonly diagnosed cancer in men, most
patients do not die from the disease. Prostate specific antigen (PSA), the most
widely used oncologic biomarker, has revolutionized screening and early
detection, resulting in reduced proportion of patients presenting with advanced
disease. However, given the inherent limitations of PSA, additional diagnostic
and prognostic tools are needed to facilitate early detection and accurate risk
stratification of disease. Serum, urine, and tissue-based biomarkers are
increasingly being incorporated into the clinical care paradigm, but there is
still a limited understanding of how to use them most effectively. In the
current article, we review test characteristics and clinical performance data
for both serum [4 K score, prostate health index (phi)] and urine [SelectMDx,
ExoDx Prostate Intelliscore, MyProstateScore (MPS), and PCa antigen 3 (PCA3)]
biomarkers to aid decisions regarding initial or repeat biopsies as well as
tissue-based biomarkers (Confirm MDx, Decipher, Oncotype Dx, and Polaris) aimed
at risk stratifying patients and identifying those patients most likely to
benefit from treatment versus surveillance or monotherapy
versus multi-modal therapy.
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