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Alternative tests to PSA for prostate cancer diagnosis

Nuovi test in competizione con il PSA per la diagnosi di carcinoma prostatico

Abstract

Alternative tests to PSA for prostate cancer diagnosis Prostate specific antigen (PSA) is still the most useful tool to select the population requiring prostate biopsy. The main downsides of PSA are an inadequate sensitivity to be used in screening and a low specificity for cancer detection. So far, a limited value for PSA derivates (velocity, density, free, proisoforms and doubling time) has been recognised. We present a short review of the literature describing a selection of the most promising alternatives to PSA being studied currently: PCA3, serum kallikreins, serum detectable prostate specific membrane antigen, the nuclear matrix protein EPCA, EPCA-2, prostatic acid phosphatase, urine detectable GSTP1, anti-AMACR antibodies, sarcosine, plasminogen activating urokinase, IGFBP, TGF beta 1, PSP94, IL6, plasmatic DNA, serum autoantibodies, neuroendocrine markers, proteomic analysis.

Urologia 2011; 78(2): 75 - 81

Article Type: REVIEW

DOI:10.5301/RU.2011.7973

Authors

Elio Defilippi, Andrea Zitella, Alessandro Tizzani

Article History

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