[Microvessel density index as a prognostic factor in a low histological differentiation stage of endometrial carcinoma].
OBJECTIVE
Angiogenesis in malignant tumors is a prognostic factor associated with tumor growth and metastasis. Studies of angiogenesis in breast, prostate and lung cancer showed that neovascularisation correlates with likelihood of metastasis and recurrence. Our study was to evaluate microvessel density as a prognostic factor in endometrial cancer.


METHODS
Between 1995-1999, 58 women were treated for endometrial carcinoma. The primary treatment consisted of total abdominal hysterectomy, bilateral salpingoophorectomy and pelvic lymphadenectomy. The microscopic examination of paraffin blocks showed the areas of the deepest myometrial invasion. The microvessels within the invasive cancer were highlighted by means of immuno-cytochemical staining to detect CD-31 antigen.


RESULTS
Microvessel count was related to likelihood of recurrence. We found statistically significant differences between patients who died after operation and patients with nonrecurrence process. All patients were in the same stage and grade of endometrial carcinoma.


CONCLUSIONS
Microvessel density index seems to be an important factor for planing postoperation treatment in endometrial carcinoma.
Szymański
Wiesław
W
Katedry i Kliniki Połoznictwa i Chorób Kobiecych AM w Bydgoszczy.
Fórmaniak
Jacek
J
Szymański
Marek
M
Grabiec
Marek
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000032:analysis; D016889:Endometrial Neoplasms / Q000098:blood supply* / Q000453:epidemiology / Q000473:pathology*; D005260:Female; D006801:Humans; D008833:Microcirculation; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D009389:Neovascularization, Pathologic; D019408:Platelet Endothelial Cell Adhesion Molecule-1 / Q000032:analysis; D011044:Poland / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity
D014408:Biomarkers, Tumor; D019408:Platelet Endothelial Cell Adhesion Molecule-1