Serum vascular endothelial growth factor: a prognostic factor in cervical cancer

被引:28
作者
Zusterzeel, Petra L. M. [2 ]
Span, Paul N. [1 ]
Dijksterhuis, Marja G. K. [2 ]
Thomas, Chris M. G. [1 ,2 ]
Sweep, Fred C. G. J. [1 ]
Massuger, Leon F. A. G. [2 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Chem Endocrinol 479, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Obstet & Gynaecol, NL-6500 HB Nijmegen, Netherlands
关键词
Angiogenesis; VEGF; Vascular endothelial growth factor; Cervical cancer; Prognostic value; Survival; FACTOR VEGF; STAGE IB; MICROVESSEL DENSITY; TUMOR ANGIOGENESIS; CARCINOMA; EXPRESSION; RADIOTHERAPY; BIOLOGY;
D O I
10.1007/s00432-008-0442-y
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To study pre-treatment serum VEGF of patients with invasive cervical cancer and its possible role as prognostic indicator. VEGF was measured using ELISA in the largest patient group (n = 167) to date. Serum VEGF was significantly higher in advanced tumor stage (P = 0.01), large tumor size (tumors larger than 2 cm) (P = 0.03), and the presence of vascular space invasion (P = 0.05). Serum VEGF was associated with disease free and overall survival [DFS: Hazard Ratio (HR) = 2.61; 95% CI 1.32-5.17; P = 0.006; for OS: HR = 2.09; 95% CI 1.54-2.84; P < 0.001, respectively]. In multivariate Cox regression serum VEGF retained its prognostic value for DFS (HR = 2.10, P = 0.03) and OS (HR = 1.92, P = 0.04). Serum VEGF levels correlate with more advanced and more aggressive disease in cervical cancer and may be a useful prognostic factor in patients with cervical cancer.
引用
收藏
页码:283 / 290
页数:8
相关论文
共 28 条
[1]   Serum VEGF levels in patients undergoing primary radiotherapy for cervical cancer:: impact on progression-free survival [J].
Bachtiary, B ;
Selzer, E ;
Knocke, TH ;
Pötter, R ;
Obermair, A .
CANCER LETTERS, 2002, 179 (02) :197-203
[2]   Vascular endothelial growth factor and prognosis of cervical carcinoma [J].
Cheng, WF ;
Chen, CA ;
Lee, CN ;
Wei, LH ;
Hsieh, FJ ;
Hsieh, CY .
OBSTETRICS AND GYNECOLOGY, 2000, 96 (05) :721-726
[3]   Angiogenesis is associated with vascular endothelial growth factor expression in cervical intraepithelial neoplasia [J].
Dobbs, SP ;
Hewett, PW ;
Johnson, IR ;
Carmichael, J ;
Murray, JC .
BRITISH JOURNAL OF CANCER, 1997, 76 (11) :1410-1415
[4]   The biology of vascular endothelial growth factor [J].
Ferrara, N ;
DavisSmyth, T .
ENDOCRINE REVIEWS, 1997, 18 (01) :4-25
[5]   THE ROLE OF VASCULAR ENDOTHELIAL GROWTH-FACTOR IN PATHOLOGICAL ANGIOGENESIS [J].
FERRARA, N .
BREAST CANCER RESEARCH AND TREATMENT, 1995, 36 (02) :127-137
[6]   ANGIOGENESIS IN CANCER, VASCULAR, RHEUMATOID AND OTHER DISEASE [J].
FOLKMAN, J .
NATURE MEDICINE, 1995, 1 (01) :27-31
[7]   WHAT IS THE EVIDENCE THAT TUMORS ARE ANGIOGENESIS DEPENDENT [J].
FOLKMAN, J .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1990, 82 (01) :4-6
[8]   Expression of vascular endothelial growth factor (VEGF) and its mRNA in uterine cervical cancers [J].
Fujimoto, J ;
Sakaguchi, H ;
Hirose, R ;
Ichigo, S ;
Tamaya, T .
BRITISH JOURNAL OF CANCER, 1999, 80 (5-6) :827-833
[9]   Tumor induction of VEGF promoter activity in stromal cells [J].
Fukumura, D ;
Xavier, R ;
Sugiura, T ;
Chen, Y ;
Park, EC ;
Lu, NF ;
Selig, M ;
Nielsen, G ;
Taksir, T ;
Jain, RK ;
Seed, B .
CELL, 1998, 94 (06) :715-725
[10]   The serum assay of tumour markers in the prognostic evaluation, treatment monitoring and follow-up of patients with cervical cancer: A review of the literature [J].
Gadducci, Angiolo ;
Tana, Roberta ;
Cosio, Stefania ;
Genazzani, Andrea Riccardo .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2008, 66 (01) :10-20