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Lymphatic Vessel Density as Prognostic Marker in Esophageal Adenocarcinoma
Journal article   Open access   Peer reviewed

Lymphatic Vessel Density as Prognostic Marker in Esophageal Adenocarcinoma

Reda S. Saad, Jennifer L. Lindner, Yulin Liu and Jan F. Silverman
American journal of clinical pathology, v 131(1), pp 92-98
01 Jan 2009
PMID: 19095571
url
https://doi.org/10.1309/ajcpkwuqsipvg90hView
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Life Sciences & Biomedicine Pathology Science & Technology
We studied tumor lymphatic vascular density (L VD) as a predictive marker for the risk of lymph node (LN) metastasis and its relationship to other prognostic parameters and survival in 75 patients with esophageal adenocarcinoma. Samples were immunostained for D2-40, CD31, and vascular endothelial growth factor (VEGF). Microvessels were counted in densely vascular/lymphatic foci (hot spots) at x 400 field (0.17 mm(2)). Intensity of staining for VEGF was scored on a 2-tiered scale. CD31 microvessel counts showed significant correlation with tumor stage and patient survival (P < .01). D2-40 LVD demonstrated a significant correlation with LN metastases, lymphovascular invasion, and tumor stage (r = 0.45, r = 0.47, and r = 0.37, respectively) and with shorter disease-free survival. D2-40 detected lymphovascular invasion in 29 of 75 cases, more than with CD31 (23/75) and H&E (18/75). VEGF was expressed in 48 (64%) of 75 cases and was significantly correlated with lymphovascular invasion, LN metastases, and overall survival. Our study showed that angiogenesis and lymphangiogenesis have important roles in the progression of esophageal adenocarcinoma.

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Collaboration types
Domestic collaboration
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Web of Science research areas
Pathology
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