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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-4-29
pubmed:abstractText
The concept of vasculogenic mimicry has been introduced to define periodic acid-Schiff (PAS)-positive channels and loops lined by tumor cells, instead of endothelium, able to contribute to microcirculation in uveal melanomas. Previous studies have shown that the PAS-positive patterns are associated with a poor prognosis in uveal melanoma. The aim of the current study was to investigate whether vasculogenic mimicry has a prognostic impact in pT3 and pT4 cutaneous melanoma. Fifteen patients with pT3 and pT4 cutaneous melanoma who did not experience progression after 10 years of follow-up and 30 matched controls who underwent progression were selected. Tumor sections were stained with PAS reaction, omitting the nuclear counterstaining. For immunohistochemistry, sections were stained with CD31, CD105 (endoglin), and laminin. Differences in the distribution of the PAS-positive patterns and a series of clinicopathological variables were evaluated by the Pearson chi(2) and Mann-Whitney U tests. We observed PAS-positive linear sheets, arcs, elliptical loops, and networks encircling roundish to oval aggregates of melanoma cells. The overall distribution of the PAS-positive patterns did not match with the blood microvessels' architecture as detected by immunohistochemical analysis. No statistically significant differences in the distribution of PAS-positive patterns were found between cases and controls. The presence of a parallel pattern correlated significantly with thickness (P = 0.04), whereas an inverse correlation was found with vessel area (P = 0.05). In conclusion, our results suggest that there is a mismatch between vasculogenic mimicry and tumor angiogenesis and do not support any prognostic role of vasculogenic mimicry in thick cutaneous melanoma.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0046-8177
pubmed:author
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
496-502
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15116332-Adult, pubmed-meshheading:15116332-Aged, pubmed-meshheading:15116332-Antigens, CD, pubmed-meshheading:15116332-Antigens, CD31, pubmed-meshheading:15116332-Disease Progression, pubmed-meshheading:15116332-Female, pubmed-meshheading:15116332-Humans, pubmed-meshheading:15116332-Image Processing, Computer-Assisted, pubmed-meshheading:15116332-Immunohistochemistry, pubmed-meshheading:15116332-Male, pubmed-meshheading:15116332-Melanoma, pubmed-meshheading:15116332-Middle Aged, pubmed-meshheading:15116332-Neoplasm Staging, pubmed-meshheading:15116332-Neovascularization, Pathologic, pubmed-meshheading:15116332-Periodic Acid-Schiff Reaction, pubmed-meshheading:15116332-Prognosis, pubmed-meshheading:15116332-Receptors, Cell Surface, pubmed-meshheading:15116332-Skin Neoplasms, pubmed-meshheading:15116332-Vascular Cell Adhesion Molecule-1
pubmed:year
2004
pubmed:articleTitle
Vasculogenic mimicry has no prognostic significance in pT3 and pT4 cutaneous melanoma.
pubmed:affiliation
Department of Human Pathology and Oncology, University of Florence, Florence, Italy.
pubmed:publicationType
Journal Article