Available markers in the diagnosis and prognosis of kidney cancer

<p>Introduction and purpose:</p><p>Renal cell carcinoma (RCC) is the most common kidney cancer that has no symptoms for a long time. It is most often diagnosed accidentally during abdominal ultrasound or abdominal computed tomography, performed primarily due to non-specific clinica...

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Main Authors: Klaudia Daria Szumna, Dominika Katarzyna Madras, Faustyna Piędel, Patryk Piotr Jasielski, Agata Agnieszka Rocka
Format: Article
Language:English
Published: Kazimierz Wielki University 2020-04-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/29645
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author Klaudia Daria Szumna
Dominika Katarzyna Madras
Faustyna Piędel
Patryk Piotr Jasielski
Agata Agnieszka Rocka
author_facet Klaudia Daria Szumna
Dominika Katarzyna Madras
Faustyna Piędel
Patryk Piotr Jasielski
Agata Agnieszka Rocka
author_sort Klaudia Daria Szumna
collection DOAJ
description <p>Introduction and purpose:</p><p>Renal cell carcinoma (RCC) is the most common kidney cancer that has no symptoms for a long time. It is most often diagnosed accidentally during abdominal ultrasound or abdominal computed tomography, performed primarily due to non-specific clinical symptoms. Despite progress in treatment, late detection is associated with poor prognosis. The aim of the study is to analyze literature (database PubMed) for potential prognostic markers and those used in RCC diagnostics.</p><p>A brief description of the state of knowledge: </p><p>The most common RCC subtype is clear cell renal cell carcinoma(ccRCC). Metastatic ccRCC is associated with poor prognosis. The pathogenesis of ccRCC includes, among others, disorders of miRNA change. These molecules are described as a promising marker of both diagnostic and prognostic. Detection of CD163 + antigen on cancer cells may be useful in assessing the clinical course of ccRCC patients. In clinical diagnosis of RCC, the presence of mutations and epigenetic inactivation of the von Hippel-Lindau (VHL) gene, vascular endothelial growth factor (VEGF) and carbonic anhydrase IX (CIAX) genes are particularly important. Plasma CIAX levels are described as not only a diagnostic and prognostic marker, but also lymph node involvement. There are studies on molecular markers that can also be a therapeutic target, including Caveolin-1 (CAV1), CCL5. Recent research results show a link between PDL1 expression and high-grade tumors. PDL-1 may also be an important prognostic factor.</p><p>Conclusions:</p><p>Research on molecular markers is a promising personalized diagnostic and prognostic route. The limitation is the nonspecificity of molecular markers, so research on new and current markers is needed.</p>
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spelling doaj.art-ad2bd1bd2d8f4bf7a6ff6ace97f9f93d2022-12-21T23:32:23ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062020-04-01104202710.12775/JEHS.2020.10.04.00224259Available markers in the diagnosis and prognosis of kidney cancerKlaudia Daria Szumna0Dominika Katarzyna Madras1Faustyna Piędel2Patryk Piotr Jasielski3Agata Agnieszka Rocka4Faculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 LublinFaculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 LublinFaculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 LublinFaculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 LublinFaculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 Lublin<p>Introduction and purpose:</p><p>Renal cell carcinoma (RCC) is the most common kidney cancer that has no symptoms for a long time. It is most often diagnosed accidentally during abdominal ultrasound or abdominal computed tomography, performed primarily due to non-specific clinical symptoms. Despite progress in treatment, late detection is associated with poor prognosis. The aim of the study is to analyze literature (database PubMed) for potential prognostic markers and those used in RCC diagnostics.</p><p>A brief description of the state of knowledge: </p><p>The most common RCC subtype is clear cell renal cell carcinoma(ccRCC). Metastatic ccRCC is associated with poor prognosis. The pathogenesis of ccRCC includes, among others, disorders of miRNA change. These molecules are described as a promising marker of both diagnostic and prognostic. Detection of CD163 + antigen on cancer cells may be useful in assessing the clinical course of ccRCC patients. In clinical diagnosis of RCC, the presence of mutations and epigenetic inactivation of the von Hippel-Lindau (VHL) gene, vascular endothelial growth factor (VEGF) and carbonic anhydrase IX (CIAX) genes are particularly important. Plasma CIAX levels are described as not only a diagnostic and prognostic marker, but also lymph node involvement. There are studies on molecular markers that can also be a therapeutic target, including Caveolin-1 (CAV1), CCL5. Recent research results show a link between PDL1 expression and high-grade tumors. PDL-1 may also be an important prognostic factor.</p><p>Conclusions:</p><p>Research on molecular markers is a promising personalized diagnostic and prognostic route. The limitation is the nonspecificity of molecular markers, so research on new and current markers is needed.</p>https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/29645renal cell carcinomatargeted treatmentmolecular markers
spellingShingle Klaudia Daria Szumna
Dominika Katarzyna Madras
Faustyna Piędel
Patryk Piotr Jasielski
Agata Agnieszka Rocka
Available markers in the diagnosis and prognosis of kidney cancer
Journal of Education, Health and Sport
renal cell carcinoma
targeted treatment
molecular markers
title Available markers in the diagnosis and prognosis of kidney cancer
title_full Available markers in the diagnosis and prognosis of kidney cancer
title_fullStr Available markers in the diagnosis and prognosis of kidney cancer
title_full_unstemmed Available markers in the diagnosis and prognosis of kidney cancer
title_short Available markers in the diagnosis and prognosis of kidney cancer
title_sort available markers in the diagnosis and prognosis of kidney cancer
topic renal cell carcinoma
targeted treatment
molecular markers
url https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/29645
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AT dominikakatarzynamadras availablemarkersinthediagnosisandprognosisofkidneycancer
AT faustynapiedel availablemarkersinthediagnosisandprognosisofkidneycancer
AT patrykpiotrjasielski availablemarkersinthediagnosisandprognosisofkidneycancer
AT agataagnieszkarocka availablemarkersinthediagnosisandprognosisofkidneycancer