학술논문

Apoptosis and Microvessel Density in Gastric Cancer: Correlation with Tumor Stage and Prognosis.
Document Type
Article
Source
American Surgeon. Dec2009, Vol. 75 Issue 12, p1183-1188. 6p.
Subject
*STOMACH cancer
*APOPTOSIS
*TUMORS
*CANCER prognosis
*CELL death
*REGULATION of cell growth
*NEOVASCULARIZATION
*MONOCLONAL antibodies
Language
ISSN
0003-1348
Abstract
Gastric cancer remains one of the most common human malignancies with a poor prognosis. Apoptosis is known to be a programmed cell death and its inhibition is involved in the unregulated cellular growth that leads to neoplasms. Microvessel density (MVD) has been investigated as a promoting factor for angiogenesis with conflicting results about its relation to survival. The aim of our study was to search a correlation between these factors and some clinicopathological features and prognosis. Identification of apoptotic cells was performed applying the terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling technique and recorded as apoptotic index lad.), whereas monoclonal antibodies were used for the study of MVD. A significant correlation was found between low and high A.I. and the subgroup of patients in Stages 1 and It (P < 0.02); 20 per cent of patients with a low A.I. showed an overall survival longer than 5 years versus 44 per cent of patients with an high A.I. IP = 0.041). High MVD was significantly related to the T stage (P = 0.036) and to a poorer 5-year overall survival (P < 0.05). Further studies are required to confirm the role of apoptosis and MVD in the development and progression of gastric cancer. [ABSTRACT FROM AUTHOR]