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Microvessel area of immature vessels is a prognostic factor in renal cell carcinoma.

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Microvessel area of immature vessels is a prognostic factor in renal cell carcinoma.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sato, Mototaka Nakai, Yasutomo Nakata, Wataru Yoshida, Takahiro Hatano, Koji Kawashima, Atsunari Fujita, Kazutoshi Uemura, Motohide Takayama, Hitoshi Nonomura, Norio
Description	Country affiliation: Japan Author Affiliation: Sato M ( Department of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.)
Abstract	OBJECTIVES: To analyze the presence of immature vessels as a predictive factor of prognosis in patients with renal cell carcinoma. METHODS: Tissue samples were obtained from 50 renal cell carcinoma patients who underwent radical nephrectomy, and the blood vessels were stained using antibodies to cluster of differentiation 34 and -smooth muscle actin. Immature vessels were defined as those positive for cluster of differentiation 34, and mature vessels as those positive for both cluster of differentiation 34 and -smooth muscle actin. The extent of vascularization was quantified by calculating the microvessel area and microvessel density. RESULTS: The microvessel area of immature vessels was positively associated with tumor grade (P < 0.0001), T stage (P < 0.0001) and American Joint Committee on Cancer stage (P < 0.0001), and was significantly higher in tumors with metastasis than in those without metastasis (P < 0.0001). The microvessel density did not associate with tumor grade or T stage. The disease-free survival and overall survival were significantly shorter in patients with high microvessel area. CONCLUSIONS: The microvessel area of immature vessels seems to be associated with renal cell carcinoma aggressiveness, suggesting this might be considered as a novel prognostic factor in patients with these tumors.
File Format	HTM / HTML
ISSN	09198172
e-ISSN	14422042
Journal	International Journal of Urology
Issue Number	2
Volume Number	21
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2014-02-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Kaplan-meier Estimate Kidney Neoplasms Multivariate Analysis Prognosis Discipline Urology Blood Supply Mortality Risk Factors Neovascularization, Pathologic Predictive Value Of Tests Pathology Microvessels Carcinoma, Renal Cell Neoplasm Staging
Content Type	Text
Resource Type	Article
Subject	Urology

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