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Published in: World Journal of Urology 1/2019

Open Access 01-01-2019 | Topic Paper

Molecular markers in bladder cancer

Authors: Francesco Soria, Laura-Maria Krabbe, Tilman Todenhöfer, Jakub Dobruch, Anirban P. Mitra, Brant A. Inman, Kilian M. Gust, Yair Lotan, Shahrokh F. Shariat

Published in: World Journal of Urology | Issue 1/2019

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Abstract

Purpose

Use of molecular markers in urine, tissue or blood offers potential opportunities to improve understanding of bladder cancer biology which may help identify disease earlier, risk stratify patients, improve prediction of outcomes or help target therapy.

Methods

A review of the published literature was performed, without restriction of time.

Results

Despite the fast-growing literature about the topic and the approval of several urinary biomarkers for use in clinical practice, they have not reached the level of evidence for widespread utilization. Biomarkers could be used in different clinical scenarios, mainly to overcome the limitations of current diagnostic, predictive, and prognostic tools. They have been evaluated to detect bladder cancer in asymptomatic populations or those with hematuria and in surveillance of disease as adjuncts to cystoscopy. There is also a potential role as prognosticators of disease recurrence, progression and survival both in patients with non-invasive cancers and in those with advanced disease. Finally, they promise to be helpful in predicting the response to local and/or systemic chemotherapy and/or immunotherapy.

Conclusions

To date, due to the lack of high-quality prospective trials, the level of evidence provided by the current literature remains low and, therefore, the potential of biomarkers exceeds utilization in clinical practice.
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Metadata
Title
Molecular markers in bladder cancer
Authors
Francesco Soria
Laura-Maria Krabbe
Tilman Todenhöfer
Jakub Dobruch
Anirban P. Mitra
Brant A. Inman
Kilian M. Gust
Yair Lotan
Shahrokh F. Shariat
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
World Journal of Urology / Issue 1/2019
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-018-2503-4

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