THE DIAGNOSTIC POTENTIAL OF URINAY AND SERUM CYTOKERATINS FOR URINARY BLADDER CANCER

G. Adeishvili, M. Shavdia, D. Tabagari
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Abstract

In our opinion, the obtained results show that the level of UBC cytokeratin determined in urine reflects the destruction of tissue by the tumor to a greater extent with deep invasion and with large tumor sizes. We believe that a decrease in the sensitivity of the UBC test in detecting recurrence in patients after TUR, in comparison with the sensitivity of the UBC test in patients with BC prior to treatment, is associated with an initial level of cytodestruction in the relapse of BC. The level of serum cytokeratin TPA largely reflects the onset of metabolic changes in the tumor focus. It is the combination of UBC + TPA tests that gives rise to true-positive results and a reduction in false-negative results, which increases the sensitivity of the method.
尿和血清细胞角蛋白对膀胱癌的诊断价值
我们认为,所得结果表明尿液中UBC细胞角蛋白水平的测定更大程度上反映了肿瘤对组织的破坏,且肿瘤侵袭深度大。我们认为,与治疗前UBC检测BC患者的敏感性相比,UBC检测TUR后患者复发的敏感性降低与BC复发的初始细胞破坏水平有关。血清细胞角蛋白TPA水平在很大程度上反映了肿瘤病灶代谢变化的开始。正是UBC + TPA检测的结合产生了真阳性结果并减少了假阴性结果,从而提高了该方法的灵敏度。
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