Angiogenesis as a prognostic indicator in pancreatic ductal adenocarcinoma.

Abstract:

BACKGROUND:Angiogenesis has gained wide acceptance as a reliable prognostic factor in several solid tumors. However, to date, experience in pancreatic adenocarcinoma is limited. MATERIALS AND METHODS:Specimens from 45 patients radically operated on at our departments from 1988 to 1997 were stained immunohistochemically with the antibodies anti-mutant p53, anti-bcl2, anti Ki67 and anti-CD31. All the slides were reviewed by the same pathologist without knowledge of the patients' outcome. RESULTS:Mutant p53, Ki67 index and vessel count were significantly related to tumoral behaviour and patients' outcome. Among patients with nodal involvement (Stage III), cumulative survival between hypovascular and hypervascular subgroups differed significantly (p = 0.03). Angiogenesis was independent from TNM in assessing the patients'prognosis at COX analysis (p = 0.02). CONCLUSION:In patients with pancreatic adenocarcinoma, angiogenesis is a reliable indicator of tumor extension, lymph node status and survival. Its evaluation as a common procedure may contribute to a further improvement in the management of these patients and to a proper selection of those who could benefit from different follow-up protocols or adjuvant treatment.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Stipa F,Lucandri G,Limiti MR,Bartolucci P,Cavallini M,Di Carlo V,D'Amato A,Ribotta G,Stipa S

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

445-9

issue

1A

eissn

0250-7005

issn

1791-7530

journal_volume

22

pub_type

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