Prognostic Value of Carcinoembryonic Antigen and Vascular Endothelial Growth Factor Tumor Tissue Content in Colorectal Cancer
| Autor: | Oreste Claudio Buonomo, Vincenzo Formica, Raffaele Palmirotta, Mario Roselli, Patrizia Ferroni, Antonella Spila, Fiorella Guadagni, Francesca Martini, Ilaria Portarena, Girolamo Del Monte |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Vascular Endothelial Growth Factor A Cancer Research Pathology medicine.medical_specialty Settore MED/06 - Oncologia Medica Colorectal cancer Prognosis Middle Aged Carcinoembryonic Antigen Colorectal Neoplasms Female Intestinal Mucosa Survival Analysis Neoplasm Staging Humans Aged Proportional Hazards Models chemistry.chemical_compound Carcinoembryonic antigen Intestinal mucosa medicine Survival analysis biology business.industry General Medicine medicine.disease Tumor tissue Vascular endothelial growth factor Vascular endothelial growth factor A Oncology chemistry biology.protein Oncofetal antigen business |
| Zdroj: | Oncology. 71:176-184 |
| ISSN: | 1423-0232 0030-2414 |
| Popis: | Aim: This study was designed to assess the prognostic significance of the combined measurement of vascular endothelial growth factor (VEGF) and carcinoembryonic antigen (CEA) tissue content with respect to relapse-free and overall survival of patients with colorectal cancer (CRC). Methods: Quantitative evaluation of VEGF and CEA content was performed on protein extracts obtained from tissue biopsies from 69 CRC patients and 15 healthy donors. Results: VEGF significantly correlated with CEA content of either tumor tissues (rho = 0.55, p < 0.0001) or corresponding normal mucosa (rho = 0.34, p < 0.005). General regression analyses demonstrated that CEA was an independent predictor of VEGF tissue content either in CRC biopsies (regression coefficient = 0.57, p < 0.0001) or normal mucosa (regression coefficient = 0.25, p < 0.05). Cox proportional hazards survival analysis showed that tumor tissue content of both VEGF and CEA had an independent prognostic value in predicting both relapse-free (hazards ratio = 5.98, p = 0.002) and overall (hazards ratio = 4.73, p = 0.007) survival, irrespective of Dukes’ stage. Kaplan-Meier analysis demonstrated that an elevated tumor content of both CEA and VEGF had a negative prognostic value in respect to either relapse-free (log-rank test: 10.4, p = 0.001) or overall survival (log-rank test: 7.33, p = 0.007). Conclusion: Tumor tissue VEGF and CEA content determination might add useful prognostic information in the management of patients with CRC. |
| Databáze: | OpenAIRE |
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