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Peritumoural, but not intratumoural, lymphatic vessel density and invasion correlate with colorectal carcinoma poor-outcome markers

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Abstract

To evaluate whether lymphatic vessel density (LVD) and lymphatic vessel invasion (LVI) are useful markers of worse outcome in colorectal carcinoma and if LVD and LVI correlate to the classical clinical-pathological parameters, we analysed 120 cases of colorectal carcinomas selected from the files of Division of Pathology, Hospital das Clinicas, São Paulo University, Brazil. Assessment of LVD and LVI was performed by immunohistochemical detection of lymphatic vessels, using the monoclonal antibody D2-40. Higher LVD was found in the intratumoural area, when comparing with normal and peritumoural areas (p < 0.001). However, peritumoural LVD, but not intratumoural, correlated with both colonic-wall-invasion depth (p = 0.037) and liver metastasis (p = 0.012). Remarkably, LVI was found associated with local invasion (p = 0.016), nodal metastasis (p = 0.022) and hepatic metastasis (p < 0.001). Peritumoural LVD and LVI are directly related to histopathological variables indicative of poor outcome such as lymph-node status and liver metastasis.

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References

  1. Achen MG, Mann GB, Stacker SA (2006) Targeting lymphangiogenesis to prevent tumour metastasis. Br J Cancer 94:1355–1360

    Article  PubMed  CAS  Google Scholar 

  2. Braet F, Nagatsuma K, Saito M, Soon L, Wisse E, Matsuura T (2007) The hepatic sinusoidal endothelial lining and colorectal liver metastases. World J Gastroenterol 13:821–825

    PubMed  Google Scholar 

  3. Chang GJ, Rodriguez-Bigas MA, Skibber JM, Moyer VA (2007) Lymph node evaluation and survival after curative resection of colon cancer: systematic review. J Natl Cancer Inst 99:433–441

    Article  PubMed  Google Scholar 

  4. Compton CC (2003) Colorectal carcinoma: diagnostic, prognostic, and molecular features. Mod Pathol 16:376–388

    Article  PubMed  Google Scholar 

  5. Des Guetz G, Uzzan B, Nicolas P, Cucherat M, Morere JF, Benamouzig R, Breau JL, Perret GY (2006) Microvessel density and VEGF expressionz are prognostic factors in colorectal cancer. Meta-analysis of the literature. Br J Cancer 94:1823–1832

    Article  PubMed  CAS  Google Scholar 

  6. Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P (2007) Estimates of the cancer incidence and mortality in Europe in 2006. Ann Oncol 18:581–592

    Article  PubMed  CAS  Google Scholar 

  7. Hamilton SR, Aaltonen LA (eds) (2000). World Health Organization classification of tumours. Tumours of the disgestive system. IARC Press, Lyon, France

  8. Jass JR, O’brien MJ, Riddell RH, Snover DC, on behalf of the Association of Directors of Anatomic and Surgical Pathology (2007) Recommendations for the reporting of surgically resected specimens of colorectal carcinoma. Hum Pathol 38:537–545

    Article  PubMed  Google Scholar 

  9. Karpanen T, Wirzenius M, Mäkkinen T, Veikkola T, Haisma HJ, Achen MG, Stacker SA, Pytowski B, YlA-Herttuala S, Alitalo K (2006) Lymphangiogenic growth factor responsiveness is modulated by postnatal lymphatic vessel maturation. Am J Pathol 169:708–718

    Article  PubMed  CAS  Google Scholar 

  10. Kuroyama S, Kobayashi N, Ohbu M, Ohtani Y, Okayasu I, Kakita A (2005) Enzyme histochemical analysis of lymphatic vessels in colon carcinoma: occurrence of lymphangiogenesis within the tumour. Hepatogastroenterology 52:1057–1061

    PubMed  Google Scholar 

  11. Liang P, Hong JW, Ubukata H, Liu HR, Watanabe Y, Katano M, Motohashi G, Kasuga T, Nakada I, Tabuchi T (2006) Increased density and diameter of lymphatic microvessels correlate with lymph node metastasis in early stage invasive colorectal carcinoma. Virchows Arch 448:570–575

    Article  PubMed  Google Scholar 

  12. Longatto-Filho A, Pinheiro C, Pereira SM, Etlinger D, Moreira MA, Jubé LF, Queiroz GS, Baltazar F, Schmitt FC (2007) Lymphatic vessel density and epithelial D2-40 immunoreactivity in pre-invasive and invasive lesions of the uterine cervix. Gynecol Oncol 107:45–51

    Article  PubMed  Google Scholar 

  13. Matsumoto K, Nakayama Y, Inoue Y, Minagawa N, Katsuki T, Shibao K, Tsurudome Y, Hirata K, Nagata N, Itoh H (2007) Lymphatic microvessel density is an independent prognostic factor in colorectal cancer. Dis Colon Rectum 50:308–314

    Article  PubMed  Google Scholar 

  14. Nishio H, Hamady ZZ, Malik HZ, Fenwick S, Rajendra Prasad K, Toogood GJ, Lodge JP (2007) Outcome following repeat liver resection for colorectal liver metastases. Eur J Surg Oncol 33:729–734

    PubMed  CAS  Google Scholar 

  15. Oliver G, Alitalo K (2005) The lymphatic vasculature: recent progress and paradigms. Annu Rev Cell Dev Biol 21:457–483

    Article  PubMed  CAS  Google Scholar 

  16. Omachi T, Kawai Y, Mizuno R, Nomiyama T, Miyagawa S, Ohhashi T, Nakayama J (2007) Immunohistochemical demonstration of proliferating lymphatic vessels in colorectal carcinoma and its clinicopathological significance. Cancer Lett 246:167–172

    Article  PubMed  CAS  Google Scholar 

  17. Padera TP, Kadambi A, di Tomaso E, Carreira CM, Brown EB, Boucher Y, Choi NC, Mathisen D, Wain J, Mark EJ, Munn LL, Jain RK (2002) Lymphatic metastasis in the absence of functional intratumor lymphatics. Science 296:1883–1886

    Article  PubMed  CAS  Google Scholar 

  18. Parr C, Jiang WG (2003) Quantitative analysis of lymphangiogenic markers in human colorectal cancer. Int J Oncol 23:533–539

    PubMed  CAS  Google Scholar 

  19. Saad RS, Kordunsky L, Liu YL, Denning KL, Kandil HA, Silverman JF (2006) Lymphatic microvessel density as prognostic marker in colorectal cancer. Mod Pathol 19:1317–1323

    Article  PubMed  CAS  Google Scholar 

  20. Sugarbaker PH (2007) Peritoneum as the first-line of defense in carcinomatosis. J Surg Oncol 95:93–96

    Article  PubMed  Google Scholar 

  21. Sundlisaeter E, Dicko A, Sakariassen PO, Sondenaa K, Enger PO, Bjerkvig R (2007) Lymphangiogenesis in colorectal cancer-Prognostic and therapeutic aspects. Int J Cancer 121:1401–1409

    Article  PubMed  CAS  Google Scholar 

  22. Walgenbach-Bruenagel G, Tolba RH, Varnai AD, Bollmann M, Hirner A, Walgenbach KJ (2006) Detection of lymphatic invasion in early stage primary colorectal cancer with the monoclonal antibody D2-40. Eur Surg Res 38:438–444

    Article  PubMed  CAS  Google Scholar 

  23. Weidner N, Semple JP, Welch WR, Folkman J (1991) Tumour angiogenesis and metastasis—correlation in invasive breast carcinoma. N Engl J Med 324:1–8

    Article  PubMed  CAS  Google Scholar 

  24. Wissmann C, Detmar M (2006) Pathways targeting tumour lymphangiogenesis. Clin. Cancer Res 12:6865–6868

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Adhemar Longatto-Filho.

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Longatto-Filho, A., Pinheiro, C., Ferreira, L. et al. Peritumoural, but not intratumoural, lymphatic vessel density and invasion correlate with colorectal carcinoma poor-outcome markers. Virchows Arch 452, 133–138 (2008). https://doi.org/10.1007/s00428-007-0550-0

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  • DOI: https://doi.org/10.1007/s00428-007-0550-0

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