Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-2-18
pubmed:abstractText
Astrocytic brain tumours, particularly malignant astrocytomas, are recognized to be highly vascular neoplasms with potent angiogenic activity. Recent research has shown that quantification of microvessel density (MVD), as a measure of the degree of angiogenesis, constitutes a strong prognostic indicator in patients with astrocytomas. However, the significance of other morphometric aspects of microvessel network has not been tested so far. In this report, histological sections from 70 astrocytomas (grades II to IV), immunostained for CD34, were evaluated by image analysis for the quantification of MVD, total vascular area (TVA), and microvascular branching, as well as several morphometric parameters related to vessel size or shape. Minor axis length increased with grade (P = 0.045) but MVD and TVA presented a peak in grade III (P = 0.033 and P < 0.001, respectively). Size and shape related parameters affected survival in univariate analysis of grade IV and grades II/III, respectively. In multivariate analysis, only branching counts, along with age and grade, were the independent predictors of survival. Although MVD, TVA and branching counts were adversely related to disease-free survival in grades II and III (univariate analysis), only TVA remained statistically significant in multivariate analysis. It is concluded that TVA and branching counts are prognostically more informative than MVD for patients with diffuse astrocytic tumours.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0305-1846
pubmed:author
pubmed:issnType
Print
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
57-66
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11849564-Adolescent, pubmed-meshheading:11849564-Adult, pubmed-meshheading:11849564-Aged, pubmed-meshheading:11849564-Aged, 80 and over, pubmed-meshheading:11849564-Antigens, CD34, pubmed-meshheading:11849564-Astrocytoma, pubmed-meshheading:11849564-Brain Neoplasms, pubmed-meshheading:11849564-Disease-Free Survival, pubmed-meshheading:11849564-Female, pubmed-meshheading:11849564-Follow-Up Studies, pubmed-meshheading:11849564-Humans, pubmed-meshheading:11849564-Immunohistochemistry, pubmed-meshheading:11849564-Male, pubmed-meshheading:11849564-Microcirculation, pubmed-meshheading:11849564-Middle Aged, pubmed-meshheading:11849564-Multivariate Analysis, pubmed-meshheading:11849564-Neovascularization, Pathologic, pubmed-meshheading:11849564-Predictive Value of Tests, pubmed-meshheading:11849564-Prognosis
pubmed:year
2002
pubmed:articleTitle
Prognostic implications of microvessel morphometry in diffuse astrocytic neoplasms.
pubmed:affiliation
Department of Pathology, National and Capodistrian University of Athens, Athens, Greece. pkorkol@cc.uoa.gr
pubmed:publicationType
Journal Article