肿瘤微血管密度和血管内皮生长因子的表达与胃癌病理及临床分期的关系

目的探讨肿瘤微血管密度和血管内皮生长因子的表达与胃癌病理及临床分期的关系。方法采用免疫组化SP法,随机检测45例胃癌病例的手术标本中肿瘤微血管密度值(MVD)及血管内皮生长因子(VEGF)的表达情况,分析MVD与VEGF表达之间的关系及与胃癌的临床分型及TNM分期的关系。结果在肿瘤生长活跃的边缘区,MVD值最高;而VEGF的表达主要是在血管丰富的肿瘤细胞胞浆内;在癌组织内的表达强度高于癌旁组织。两者差异有统计学意义(P<0.05)。MVD值与VEGF表达在不同的胃癌Borrmann分型中各不相同。结论MVD/VEGF二者与胃癌的生长、浸润、转移及预后有不可分的关系。

The expression of vascular endothelial cell growth factor and the microvessel density and their relationship with pathological types and clinical stages of gastric carcinoma

Objective To explore the relationship of the microvessel density(MVD) and the expression of vascular endothelial cell growth factor(VEGF) with the pathological types and clinical stages of gastric cancers.Methods The MVD and expression of VEGF in 45 patients with gastric cancer were assayed by using SP immunohistochemical method.The relationship of the MVD and VEGF with the pathological TNM types and clinical stages of gastric cancer was analyzed.Results In the marginal area where the gastric cancer grew actively,the microvessel density(MVD) was the highest;the expression of vascular endothelial cell growth factor(VEGF) in the cancerous cell plasm was significantly higher than that in the neighboring noncancer tissues(P<0.05).The value of MVD and the positive rate of VEGF expression varied in different Borrmann types and TNM stages,and increased with the types and stages of gastric cancer developing.Conclusion MVD and VEGF are related to the growth,infiltration,metastasis and prognosis of gastric carcinoma.