子宫内膜癌生物标志物的发现:过去几年的最新进展。

IF 3.9 3区 医学 Q1 PATHOLOGY
Tea Lanišnik Rižner, Andrea Romano
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引用次数: 0

摘要

早期诊断对子宫内膜癌患者的预后至关重要;然而,目前还没有可用的无创测试。尽管早期诊断预后良好,但仍有少数女性会复发,因此需要根据复发风险对患者进行生物标志物分类。近几十年来,人们一直在积极寻求血液生物标志物的发现,以促进EC患者的诊断和改善风险分层。涵盖领域:本综述是对过去8年报道的用于子宫内膜癌诊断和预后的候选血液生物标志物的更新。文献检索在PubMed数据库中进行,时间为2016年7月至2024年9月。本文综述了有关肿瘤标志物、蛋白质、代谢物和mirna及其诊断和预后特性的研究。评估纳入研究的质量,并讨论其局限性和转化为临床应用的潜力。专家意见/评论:单个生物标志物候选物不能提供最佳的诊断和预后特征。使用组学发现生物标志物是有希望的,但由于方法问题和缺乏外部验证,这一领域的发展滞后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The discovery of biomarkers for endometrial cancer: update over the last years.

Introduction: Early diagnosis is essential for a good prognosis of patients with endometrial cancer; however, there are currently no noninvasive tests available. Despite the good prognosis with early diagnosis, a significant minority of women will recur, and biomarkers are needed to stratify patients according to their risk of recurrence.

Context: In recent decades, the discovery of blood biomarkers to facilitate diagnosis and improve risk stratification of EC patients has been actively pursued.

Areas covered:  The present review is an update of candidate blood biomarkers for the diagnosis and prognosis of endometrial cancer reported in the past eight years, following an earlier review. The literature search was conducted in the PubMed database for the period between July 2016 and September 2024. This review describes studies investigating tumor markers, proteins, metabolites and miRNAs and their diagnostic and prognostic properties. The quality of the included studies is assessed and the limitations and potential for translation into clinical application are discussed.

Expert opinion/commentary: Individual biomarker candidates do not offer optimal diagnostic and prognostic characteristics. The use of omics for biomarker discovery is promising, but development in this area is lagging behind due to methodological issues and a lack of external validation.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
71
审稿时长
1 months
期刊介绍: Expert Review of Molecular Diagnostics (ISSN 1473-7159) publishes expert reviews of the latest advancements in the field of molecular diagnostics including the detection and monitoring of the molecular causes of disease that are being translated into groundbreaking diagnostic and prognostic technologies to be used in the clinical diagnostic setting. Each issue of Expert Review of Molecular Diagnostics contains leading reviews on current and emerging topics relating to molecular diagnostics, subject to a rigorous peer review process; editorials discussing contentious issues in the field; diagnostic profiles featuring independent, expert evaluations of diagnostic tests; meeting reports of recent molecular diagnostics conferences and key paper evaluations featuring assessments of significant, recently published articles from specialists in molecular diagnostic therapy. Expert Review of Molecular Diagnostics provides the forum for reporting the critical advances being made in this ever-expanding field, as well as the major challenges ahead in their clinical implementation. The journal delivers this information in concise, at-a-glance article formats: invaluable to a time-constrained community.
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