Early detection of prostate cancer. Is serum PSA testing alone sufficient?

被引:0
|
作者
Boergermann, C. [1 ,2 ]
vom Dorp, F. [2 ]
Breuer, G. [1 ]
Kliner, S. [1 ,2 ]
Ruebben, H. [2 ]
机构
[1] Krankenhaus Duren gGmbH, Klin & Poliklin Urol Urol Onkol & Kinderurol, D-52351 Duren, Germany
[2] Univ Klin Essen, Klin & Poliklin Urol Uroonkol & Kinderurol, Essen, Germany
来源
UROLOGE | 2010年 / 49卷 / 11期
关键词
Prostate-specific antigen; Prostate cancer antigen 3; human; Screening; Prostate cancer; DIGITAL RECTAL EXAMINATION; MULTICENTER CLINICAL-TRIAL; SCREENING TRIAL; ANTIGEN DENSITY; MEN; VOLUME; DIFFERENTIATION; HYPERPLASIA; CARCINOMA; DIAGNOSIS;
D O I
10.1007/s00120-010-2394-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The euphoria over PSA as an optimal marker for prostate cancer is gone. Measuring PSA levels has several deficiencies in detecting prostate cancer. First results of the randomized studies ERSPC and PLCO were not able to conclusively prove the value of PSA-based screening. Many attempts have been made to optimize early detection of prostate cancer like using modern imaging techniques or new biomarkers. This review deals with PSA isoforms und emerging biomarkers for the diagnosis of prostate cancer. Despite the inadequacies of PSA it is still the most important marker for the early detection of prostate cancer. Modern biomarkers with the ability to reliably predict aggressive prostate cancer are still missing.
引用
收藏
页码:1351 / +
页数:4
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