AI Article Synopsis

  • Upper tract urothelial carcinoma (UTUC) is an aggressive cancer with limited reliable prognostic biomarkers currently available.
  • A thorough review of 94 studies assessed the prognostic value of various biomarkers from blood, tissue, and urine in UTUC patients, focusing on 22 blood-based, 13 tissue-based, and 4 urine-based markers.
  • While certain biomarkers like the neutrophil-lymphocyte ratio and albumin are well-supported and included in existing guidelines, the clinical significance of many other potential biomarkers needs further investigation due to insufficient research.

Article Abstract

Upper tract urothelial carcinoma (UTUC) is a rare but aggressive neoplasm. Currently, there are few reliable and widely used prognostic biomarkers of this disease. The purpose of this study was to assess the prognostic value of blood-, tissue- and urine-based biomarkers in patients with UTUC. A comprehensive literature search was conducted using the PubMed, Cochrane and Embase databases. Case reports, editorials and non-peer-reviewed literature were excluded from the analysis. As a result, 94 articles were included in this review. We evaluated the impact of 22 blood-based, 13 tissue-based and 4 urine-based biomarkers and their influence on survival outcomes. The neutrophil-lymphocyte ratio, albumin, C-reactive protein, De Ritis ratio, renal function and fibrinogen, which are currently mentioned in the European Association of Urology (EAU) guidelines, are well researched and most probably allow for a reliable prognosis estimate. However, our review highlights a number of other promising biomarkers that could potentially predict oncological outcomes in patients with UTUC. Nonetheless, the clinical value of some prognostic factors remains uncertain due to the lack of comprehensive studies.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393937PMC
http://dx.doi.org/10.3390/diagnostics14171927DOI Listing

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