BCHE and metabolic syndrome: In addition to the influence of environmental factors, recent studies have found that MetS may have a genetic predisposition, and although no clearly associated genes have been identified, there is familial aggregation of MetS in some cases (31).Lipids may act as potential tumor biomarkers, with the ratio of triglycerides to high density lipoprotein (TG/HDL ratio) and Pseudocholinesterase (PChE) activity being associated with various urological tumors (32), but there is a lack of research evidence to evaluate lipids as tumor markers that play the role of excellent clinical managers.