CYFRA 21-1 Protein - a Potential Marker of Endometriosis
Cytokeratin 19-9 (CYFRA 21-1) protein is elevated in the urine of endometriosis patients, indicating its potential as an early diagnostic marker for this chronic inflammatory disease.
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This narrative review discusses endometriosis as a chronic inflammatory disorder and proposes that invasion and proliferation processes could drive increased synthesis of certain proteins that are subsequently excreted in urine. It focuses on CYFRA 21-1, a protein derived from cytokeratin 19-9, stating that it is enhanced in urinary secretion in patients with endometriosis and may function as a potential marker, particularly in early stages where imaging cannot reliably suggest or target the diagnosis. The paper does not provide new primary data and, as a review, acknowledges etiopathogenesis remains insufficiently clarified with multiple theories. This paper is centrally about endometriosis—specifically evaluating CYFRA 21-1 in urine as a potential early-stage marker.
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