TY - JOUR
T1 - Prognostic value of microvessel density in stage II and III colon cancer patients: A retrospective cohort study
AU - den Uil, Sjoerd H.
AU - van den Broek, Evert
AU - Coupé, Veerle M. H.
AU - Vellinga, Thomas T.
AU - Delis-van Diemen, Pien M.
AU - Bril, Herman
AU - Belt, Eric J. Th.
AU - Kranenburg, Onno
AU - Stockmann, Hein B. A. C.
AU - Belien, Jeroen A. M.
AU - Meijer, Gerrit A.
AU - Fijneman, Remond J. A.
PY - 2019/8/16
Y1 - 2019/8/16
N2 - Background: Microvessel density (MVD), as a derived marker for angiogenesis, has been associated with poor outcome in several types of cancer. This study aimed to evaluate the prognostic value of MVD in stage II and III colon cancer and its relation to tumour-stroma-percentage (TSP) and expression of HIF1A and VEGFA. Methods: Formalin-fixed paraffin-embedded (FFPE) colon cancer tissues were collected from 53 stage II and 54 (5-fluorouracil-treated) stage III patients. MVD was scored by digital morphometric analysis of CD31-stained whole tumour sections. TSP was scored using haematoxylin-eosin stained slides. Protein expression of HIF1A and VEGFA was determined by immunohistochemical evaluation of tissue microarrays. Results: Median MVD was higher in stage III compared to stage II colon cancers (11.1% versus 5.6% CD31-positive tissue area, p < 0.001). High MVD in stage II patients tended to be associated with poor disease free survival (DFS) in univariate analysis (p = 0.056). In contrast, high MVD in 5FU-treated stage III patients was associated with better DFS (p = 0.006). Prognostic value for MVD was observed in multivariate analyses for both cancer stages. Conclusions: MVD is an independent prognostic factor associated with poor DFS in stage II colon cancer patients, and with better DFS in stage III colon cancer patients treated with adjuvant chemotherapy.
AB - Background: Microvessel density (MVD), as a derived marker for angiogenesis, has been associated with poor outcome in several types of cancer. This study aimed to evaluate the prognostic value of MVD in stage II and III colon cancer and its relation to tumour-stroma-percentage (TSP) and expression of HIF1A and VEGFA. Methods: Formalin-fixed paraffin-embedded (FFPE) colon cancer tissues were collected from 53 stage II and 54 (5-fluorouracil-treated) stage III patients. MVD was scored by digital morphometric analysis of CD31-stained whole tumour sections. TSP was scored using haematoxylin-eosin stained slides. Protein expression of HIF1A and VEGFA was determined by immunohistochemical evaluation of tissue microarrays. Results: Median MVD was higher in stage III compared to stage II colon cancers (11.1% versus 5.6% CD31-positive tissue area, p < 0.001). High MVD in stage II patients tended to be associated with poor disease free survival (DFS) in univariate analysis (p = 0.056). In contrast, high MVD in 5FU-treated stage III patients was associated with better DFS (p = 0.006). Prognostic value for MVD was observed in multivariate analyses for both cancer stages. Conclusions: MVD is an independent prognostic factor associated with poor DFS in stage II colon cancer patients, and with better DFS in stage III colon cancer patients treated with adjuvant chemotherapy.
KW - Angiogenesis
KW - Colon cancer
KW - Microvessel density
KW - Prognosis
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85070899633&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31420015
U2 - https://doi.org/10.1186/s12876-019-1063-4
DO - https://doi.org/10.1186/s12876-019-1063-4
M3 - Article
C2 - 31420015
SN - 1471-230X
VL - 19
JO - BMC gastroenterology
JF - BMC gastroenterology
IS - 1
M1 - 146
ER -