Colorectal cancer: Greater neo-angiogenesis, less perforation, worst oncological outcomes

Autor: Gianluca Costa, Pietro Fransvea, Gabriele Sganga
Rok vydání: 2020
Předmět:
Zdroj: Medical hypotheses. 146
ISSN: 1532-2777
Popis: Little attention has been paid to the anatomopathological factors and pathophysiologic mechanisms involved in CRC perforation. Perforation is one of the most serious complications occurring up to 11% of the cases and may also be the first manifestation of the tumor. Differentiation and angiogenesis have an important role in the tumor perforation mechanism. On the one hand, a greater expression of vascularization optimizes the supply of oxygen to the tumor and thus entails a lower necrotic wall rate and thus of perforation, on the other it is associated with a lower rate of differentiation and hence to a more aggressive cancer cells.
Databáze: OpenAIRE