J Korean Cancer Assoc.
2000 Feb;32(1):19-25.
Tumor Angiogenesis as a Predictor of Malignancy Potential and Prognosis in Gastric Carcinoma
- Affiliations
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- 1Departments of Surgery, Dong-A University College of Medicine.
- 2Departments of Pathology, Dong-A University College of Medicine.
- 3Department of Statistics, Pusan National University, Pusan, Korea.
Abstract
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PURPOSE: In order to evaluate the clinical relevance of angiogenesis in patients
with gastric cancer, we investigated the microvessel count in gastric cancer
tissues and compared the results with several clinicopathologic factors and prognosis.
MATERIALS AND METHODS
A total of 256 patients with gastric cancer who underwent
curative surgery were included in this study. Microvessel count was determined by
im-munohistochemical staining using monoclonal antibody against factor VIII-related antigen.
RESULTS
The statistical significance between the microvessel count and clinicopathologic
factors (age, sex, tumor invasion, lymph node involvement, histologic type) was analized.
The tumor stage and histologic type were correlated with microvessel count. And also
there was statistical significance with survival rate and recurrence-free survival
rate between high (microvessel count> or =42) and low angiogeneic group
(microvessel count< 42). The Cox's proportional hazard model showed that stage,
histologic type, angiogeneic score were one of the significant and independent
prognostic variables.
CONCLUSION
The tumor angiogenesis of gastric carcinoma may be independent prognostic
factor for predicting recurrence and survival.