PMID- 29211355 OWN - NLM STAT- MEDLINE DCOM- 20180313 LR - 20181023 IS - 1899-5276 (Print) IS - 1899-5276 (Linking) VI - 26 IP - 7 DP - 2017 Oct TI - Tumor marker alpha-fetoprotein receptor does not discriminate between benign prostatic disease and prostate cancer. PG - 1085-1090 LID - 10.17219/acem/65432 [doi] AB - BACKGROUND: The alpha-fetoprotein receptor (RECAF) is a proposed novel tumor marker for detecting several different types of tumors, including prostate cancer (PCa). OBJECTIVES: The aim of the study was to evaluate RECAF in discriminating benign prostatic conditions from PCa and to compare it with prostate-specific antigen (PSA). MATERIAL AND METHODS: A total of 64 patients with elevated serum PSA levels and/or abnormal digital rectal examination of the prostate referred to a tertiary center for transrectal ultrasound (TRUS) biopsy of the prostate were prospectively enrolled in the study from January 2009 to April 2010. Serum RECAF, total PSA (tPSA) and free PSA (fPSA) concentrations were measured. The results were correlated with histopathologic findings using the Mann-Whitney U test and Kruskal-Wallis chi2 test. RESULTS: The median RECAF concentration was 5.34 U/L in the benign pathology group of patients and 4.72 U/L in the malignant pathology group. The difference was not statistically significant. RECAF density, tPSA and fPSA concentrations and tPSA density were significantly different between the benign and malignant pathology groups (p = 0.033, p = 0.000, p = 0.002 and p = 0.000, respectively). RECAF concentration and RECAF density did not differ significantly in the subgroups of PCa patients stratified according to Gleason score, predominant primary Gleason grade or maximum primary Gleason grade, but in predominant secondary Gleason grade and maximum secondary Gleason grade, significant differences were found (p = 0.007 and p = 0.004, respectively). CONCLUSIONS: The results of the study did not confirm the RECAF tumor marker as an alternative way to discriminate between groups of patients with benign prostatic conditions and PCa, and its concentration and density do not differ among PCa histopathologic groups. FAU - Smrkolj, Tomaz AU - Smrkolj T AD - Department of Urology, Ljubljana University Medical Centre, Slovenia. FAU - Gubina, Borut AU - Gubina B AD - Department of Urology, Ljubljana University Medical Centre, Slovenia. FAU - Bizjak, Jure AU - Bizjak J AD - Department of Urology, Ljubljana University Medical Centre, Slovenia. FAU - Kumer, Kristina AU - Kumer K AD - Institute of Clinical Chemistry and Biochemistry, Ljubljana University Medical Centre, Slovenia. FAU - Fabjan, Teja AU - Fabjan T AD - Institute of Clinical Chemistry and Biochemistry, Ljubljana University Medical Centre, Slovenia. FAU - Osredkar, Josko AU - Osredkar J AD - Institute of Clinical Chemistry and Biochemistry, Ljubljana University Medical Centre, Slovenia. LA - eng PT - Journal Article PL - Poland TA - Adv Clin Exp Med JT - Advances in clinical and experimental medicine : official organ Wroclaw Medical University JID - 101138582 RN - 0 (Biomarkers, Tumor) RN - 0 (Receptors, Peptide) RN - 0 (alpha-fetoprotein receptor, human) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Aged MH - Biomarkers, Tumor/*blood MH - Diagnosis, Differential MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Prospective Studies MH - Prostate-Specific Antigen/blood MH - Prostatic Diseases/*diagnosis MH - Prostatic Neoplasms/blood/*diagnosis/pathology MH - Receptors, Peptide/*analysis MH - Statistics, Nonparametric OTO - NOTNLM OT - histopathology OT - prostate cancer OT - prostate-specific antigen OT - tumor marker OT - alpha-fetoprotein receptor EDAT- 2017/12/07 06:00 MHDA- 2018/03/14 06:00 CRDT- 2017/12/07 06:00 PHST- 2017/12/07 06:00 [entrez] PHST- 2017/12/07 06:00 [pubmed] PHST- 2018/03/14 06:00 [medline] AID - 10.17219/acem/65432 [doi] PST - ppublish SO - Adv Clin Exp Med. 2017 Oct;26(7):1085-1090. doi: 10.17219/acem/65432.