DOI: https://doi.org/10.30841/2307-5090.2.2020.212993

The Role of the Latest Biomarkers, the Gleason Tertiary Index, and Comorbid Status in Improving the Detection of High-risk Hormone-untreated Non-metastatic Prostate Cancer

С. В. Головко

Abstract


The objective of the study was to confirm additional criteria that do not include indicators of the standard classification of Tumor-Node-Metastasis (TNM), prostate-specific antigen (PSA) and standard Gleason indicators to improve the stratification of high-risk non-metastatic prostate cancer (RP). A detailed analysis of the literature was performed using PubMed data, which provided additional approaches to the standard classification. Treatment of prostate cancer should be based on the stratification of risk factors, which will ensure that the therapy corresponds to the degree of aggressiveness of the disease.

The study made the following conclusions:

1. Identification of the latest biomarkers contributes to a more thorough study of the characteristics of RP. These indicators provide greater potential both in diagnostic and prognostic terms.

2. treatment Options for men at high risk of prostate-cancer-specific death (i.e. patients with a Charleson index >3) should take into account the high level of competing lethality.

3. Within the high-risk cohort, patients with multiple risk factors represent the group with the worst prognosis for prostate-specific mortality.

4. Modern approaches to the definition of high-risk non-metastatic breast cancer contribute to a more accurate prediction of cancer-specific survival (CSR).


Keywords


prostate cancer; high-risk prostate cancer; risk stratification

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