Can natural killer cell activity help screen patients requiring a biopsy for the diagnosis of prostate cancer?



Título del documento: Can natural killer cell activity help screen patients requiring a biopsy for the diagnosis of prostate cancer?
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434640
ISSN: 1677-5538
Autores: 1
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Instituciones: 1Korea University Ansan Hospital, Department of Urology, Ansan, Gyeonggi. Corea del Sur
Año:
Periodo: Mar-Abr
Volumen: 46
Número: 2
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Purpose To evaluate the usefulness of natural killer cell activity (NKA) in diagnosing prostate cancer (PC). Materials and Methods The medical records of patients who underwent transrectal prostate biopsy (TRBx) at Korea University Ansan Hospital between May 2017 and December 2017 were retrospectively reviewed. NKA levels were measured using NK Vue® Tubes (ATgen, Sungnam, Korea). All blood samples were obtained at 8 AM on the day of biopsy. Patients with other malignancies, chronic inflammatory conditions, high prostate-specific antigen (PSA) level (>20ng/mL), or history of taking 5-alpha-reductase inhibitor or testosterone replacement therapy were excluded. Results A total of 102 patients who underwent TRBx for PC diagnosis were enrolled. Among them, 50 were diagnosed with PC. Significant differences in age and NKA level were observed between the PC and no-PC groups. Receiver operating characteristic (ROC) curve analysis showed that the optimal cut-off of NKA level for the prediction of PC was 500pg/dL, with a sensitivity of 68.0% and a specificity of 73.1%. In addition, NKA level (0.630) had the greatest area under the ROC curve compared to those for the ratio of total PSA to free PSA (0.597) and PSA density (0.578). Conclusions The results of this pilot study revealed that low NKA and high PSA levels were likely to be associated with a positive TRBx outcome. NKA detection was easy and improved the diagnostic accuracy of PC
Disciplinas: Medicina
Palabras clave: Oncología,
Urología,
Diagnóstico,
Neoplasias,
Próstata,
Células asesinas naturales,
Actividad celular,
Valor diagnóstico
Keyword: Oncology,
Urology,
Diagnosis,
Neoplasms,
Prostate,
Natural killer cells,
Cell activity,
Diagnostic value
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