Vascular endothelial growth factor (VEGF) in astrocytic gliomas : a prognostic factor?

Survival in astrocytic gliomas is closely related to WHO tumor grade. Within one tumor grade, especially in grade II and III tumors, the clinical course is variable and can hardly be predicted by histological criteria. Neovascularization is a neuropathological hallmark in high grade gliomas and angi...

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Veröffentlicht in:Journal of neuro-oncology 1999-01, Vol.45 (2), p.117-125
Hauptverfasser: OEHRING, R. D, MILETIC, M, VALTER, M. M, PIETSCH, T, NEUMANN, J, FIMMERS, R, SCHLEGEL, U
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container_issue 2
container_start_page 117
container_title Journal of neuro-oncology
container_volume 45
creator OEHRING, R. D
MILETIC, M
VALTER, M. M
PIETSCH, T
NEUMANN, J
FIMMERS, R
SCHLEGEL, U
description Survival in astrocytic gliomas is closely related to WHO tumor grade. Within one tumor grade, especially in grade II and III tumors, the clinical course is variable and can hardly be predicted by histological criteria. Neovascularization is a neuropathological hallmark in high grade gliomas and angiogenic factors may play an important role in malignant tumor progression. Therefore, 162 primary astrocytic gliomas (57 astrocytomas WHO grade II, 27 astrocytomas WHO grade III and 78 glioblastomas WHO grade IV) were investigated immunohistochemically for expression of vascular endothelial growth factor (VEGF), which is considered to represent the main angiogenic factor in astrocytic gliomas. Clinical data known to influence prognosis were documented. VEGF expression was found in 21 of 57 astrocytomas WHO grade II (36.8%), in 18 of 27 astrocytomas WHO grade III (66.7%) and in 50 of 78 glioblastomas (64.1%). A strong correlation between VEGF expression and survival was found within the whole study group, however, within one tumor grade no such correlation was obvious. In a multifactorial analysis VEGF expression was not found to be an independent prognostic factor in astrocytic gliomas.
doi_str_mv 10.1023/A:1006333005563
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subjects Adult
Astrocytoma - mortality
Astrocytoma - pathology
Astrocytoma - surgery
Biological and medical sciences
Blotting, Western
Brain Neoplasms - mortality
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Endothelial Growth Factors - analysis
Endothelial Growth Factors - genetics
Female
Gene Expression
Glioblastoma - mortality
Glioblastoma - pathology
Glioblastoma - surgery
Humans
Immunohistochemistry
Lymphokines - analysis
Lymphokines - genetics
Male
Medical sciences
Middle Aged
Neurology
Prognosis
Retrospective Studies
Survival Analysis
Tumors of the nervous system. Phacomatoses
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factors
title Vascular endothelial growth factor (VEGF) in astrocytic gliomas : a prognostic factor?
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