The Importance of Vascular Density in Progression of Prostate Cancer Undergoing Radical Prostatectomy

  • M. N. Tillyashaykhov Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology
  • M. S. Salomov Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology Surkhandarya branch
Keywords: prostate cancer, tumor progression, vascular density, vascular vessel, lymphatic vessels, hormone-native patients

Abstract

Development of vascularization in tumor by supporting the nutrition and dissemination of tumor cells. However, the reduced number of vascular density (VVlow) may bring to hypoxia, which accounts for the selection of resistant clone(s) of tumor cells. This research focused on to evaluate the prognostic importance of blood vessel (VV) and lymphatic vessel (LV) in disease progression in prostate cancer (PCa). Tumor samples from 85 prostate cancer patients undergoing radical prostatectomy (RP) were prepared in duplex as tissue microarrays. All VV and LV were estimated using immunohistochemistry detecting CD34 and podoplanin, respectively, and correlated with clinical data, biochemical recurrence (BR), and proteins analyzed in tumor cells.

VVlow and LV were found in 13% and 24% of patients with informative prostate cancer samples, respectively. VVlow correlated with a shorter time to BR 1, 3, and 5 years after RP in hormone-native patients (p = 0.021, p = 0.024 and p = 0.040, respectively). Also these are shown to be an independent prognostic factor 3 years after surgery (multivariate analysis, p = 0.041). Tumors characterized by VVlow expressed the epithelial cell adhesion molecule, EpCAM, less frequently (p = 0.014) and revealed a borderline correlation to increased levels of tumor cell invasion marker Loxl-2 (p = 0.043). No correlations were found for LV. In summary, VVlow in hormone-native patients undergoing RP has prognostic potential and seems to be related to an aggressive phenotype of tumor cells.

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Published
2022-12-07
How to Cite
Tillyashaykhov, M. N., & Salomov, M. S. (2022). The Importance of Vascular Density in Progression of Prostate Cancer Undergoing Radical Prostatectomy. Central Asian Journal of Medical and Natural Science, 3(6), 281-292. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/1205
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Articles