Korean J Pathol.
2000 Jul;34(7):524-530.
Tumor Angiogenesis and Vascular Endothelial Growth Factor Expression in Cervical Intraepithelial Neoplasia
- Affiliations
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- 1Departments of Pathology, College of Medicine, Ewha Womans University, Seoul 158-056, Korea
- 2Departments of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul 158-056, Korea
Abstract
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Angiogenesis is an essential requirement for development, progression, and metastasis of
malignant tumors. Vascular endothelial growth factor (VEGF) is one of the important angiogenic
factors. Recently the role of angiogenesis has been known in premalignant lesions. This study was
performed to determine whether the angiogenesis and VEGF expression were increased in
association with histological grade of cervical intraepithelial neoplasia (CIN) and to see the
relationship between the angiogenesis and VEGF. Immunostainings for factor VIII and VEGF were
performed on 52 cases of cervical neoplasia (12 cases of CIN I, 11 cases of CIN II, 15 cases of
CIN III, 7 cases of microinvasive squamous cell carcinoma, and 7 cases of invasive carcinoma)
and 5 cases of normal cervix. The results showed a significant increase of microvessel count from
normal cervix through CIN grades to invasive squamous cell cacinoma. VEGF expression was
increased in proportion to the CIN grades. There was no significant correlation between
microvessel count and VEGF expression. In conclusion, the tumor angiogenesis is an early event
in tumorigenesis of uterine cervix. In addition, no significant relationship between the microvessel
count and VEGF expression in CIN suggests the possibility of other growth factors affecting
mainly angiogenesis of premalignant lesion of uterine cervix.