Tumor growth and metastasis depends on angiogenesis. vascular endothelial growth
factor(VEGF) is a potent mitogen for vascular endothelial cells in vitro and promotes neoangiogcnesis
Objective : Follicular thyroid cancers(FTC) are a vascular tumor and traditionally
metastasize via blood vessels. Likely other cancers, angiogenesis may play a important
role in FTC. We, therefore, investigated the expression of VEGF and microvascular
density by immunohistochemistry in FTG and microvascular adenoma(FA).
Materials and Methods : Findings of immunohistochemical stainings for VEGF and
CD31 were measured by grading scale from +1 to 4+(strongest) and by counting the
stained microvessels in 14 FTCs and 14 FAs
Results : 1) Expression of VEGF. a) FTCs have stronger expression than FAs in
areas of tumor adjacent to capsule(mean±SD : 3.2?0.9 vs 2.0±0.9, p<0.01) and in
central area(2.3±0.7 vs 1.3±0.6, p<0.01). b) The VEGF expression of capsular area in
FTCs are higher than that of central area(p<0.05). 2) Microvascular density CD3l. a)
FTCs have more microvessels than FAs in areas of adjacent to capsule(78.9±27.3 vs
38.7±15.6, p<0.01) and in central area(75.5±23.3 vs 27.8±10.7, p<0.01). b) In FTCs, the number of microvessels of capsular area are more than that of central tumor area, but not significant statistically(p>0.05)
Conclusion : The higher expression ol VEGF and microvascular density in FTC
suggests angiogenesis plains an important role in progression of FTC.