http://www.cnr.it/ontology/cnr/individuo/prodotto/ID184352
Vascular endothelial growth factor (VEGF) and other common tissue prognostic indicators in breast cancer: A case-control study (Articolo in rivista)
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- Vascular endothelial growth factor (VEGF) and other common tissue prognostic indicators in breast cancer: A case-control study (Articolo in rivista) (literal)
- Anno
- 2004-01-01T00:00:00+01:00 (literal)
- Alternative label
A. Nicolini1; D. Campani2; P. Miccoli3; C. Spinelli3; A. Carpi4; M. Menicagli2; P. Ferrari1; G. Gadducci4; G. Rossi5; M. Fini6; G. Giavaresi6; V. Bonazzi7; R. Giardino6 (2004)
Vascular endothelial growth factor (VEGF) and other common tissue prognostic indicators in breast cancer: A case-control study
in The International Journal of Biological Markers (Testo stamp.); Wichtig Editore, Milan (Italia)
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- A. Nicolini1; D. Campani2; P. Miccoli3; C. Spinelli3; A. Carpi4; M. Menicagli2; P. Ferrari1; G. Gadducci4; G. Rossi5; M. Fini6; G. Giavaresi6; V. Bonazzi7; R. Giardino6 (literal)
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- 1Department of Internal Medicine, 2Department of Oncology, 3Department of Surgery, 4Department of Reproduction and Aging, University of Pisa
5Unit of Epidemiology and Biostatistics, Institute of Clinical Physiology, National Research Council (CNR), Pisa
6Department of Experimental Surgery, Research Institute Codivilla Putti, Rizzoli Orthopedic Institute, Bologna
7Associazione Nazionale Tumori (ANT), Bologna - Italy (literal)
- Titolo
- Vascular endothelial growth factor (VEGF) and other common tissue prognostic indicators in breast cancer: A case-control study (literal)
- Abstract
- VEGF is a specific mitogen and survival factor for endothelial cells and a key promoter of angiogenesis in physiological
and pathological conditions. Nevertheless, VEGF tissue evaluation in cancer patients as a prognostic factor compared
to the conventional histological and biological parameters is still controversial. In this case-control study, tissue
VEGF was retrospectively determined by immunohistochemistry and related to T, N, ER, PgR, c-erbB-2, p53, MIB-1 and cyclin
D1 in 129 breast cancer patients. Seventy-four of these patients had developed distant metastases postoperatively. The
remaining 55 patients had remained disease-free >10 years after surgery. In 17 (13%) of the 129 patients (six with distant
metastases and eleven disease-free) tissue and plasma VEGF were concomitantly evaluated. In univariate analysis no significant
differences in VEGF and tumor size were found between metastatic and disease-free patients, whereas there were significant
differences in N, ER, PgR, c-erbB-2, p53, MIB-1 and cyclin D1 (p ranging from 0.001 to 0.0001). In multivariate
analysis VEGF showed less significance than N, ER, c-erbB-2, MIB-1 and cyclin D1 (p=0.012, p=0.007, p=0.005, p=0.005,
p=0.002 and p=0.001, respectively). VEGF was a significant unfavorable prognostic indicator only in the N+ subset
(p=0.015), while ER (p=0.05 and p=0.021) and MIB-1 (p=0.031 and p=0.022) were significant in both the N+ and N- subgroups.
In multivariate analysis in the 74 metastatic cases VEGF did not show any significance in relation to disease-free interval
and overall survival from the time of mastectomy and from the time of relapse, whereas N and PgR did (p ranging
from 0.018 to 0.001). In conclusion, tissue VEGF does not seem a suitable candidate to replace conventional histological
and other common biological prognostic factors in breast cancer. (literal)
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