Published online Nov 15, 2004. doi: 10.3748/wjg.v10.i22.3261
Revised: February 4, 2004
Accepted: March 2, 2004
Published online: November 15, 2004
AIM: To investigate the expression of vascular endothelial growth factor-C (VEGF-C) and the relationship between VEGF-C and lymphangiogenesis, lymph node metastasis in colorectal cancer.
METHODS: Fifty six cases of colorectal cancer were selected randomly. Expression of VEGF-C was detected by immuno- histochemistry, and lymphatic vessels were stained by enzyme histochemical method.
RESULTS: VEGF-C expression was found in 66.7% (37/56) patients. In VEGF-C positive and negative patients, the lymphatic vessel density was 25.16 ± 7.52 and 17.14 ± 7.22, respectively (P < 0.05). The rate of lymph node metastasis in VEGF-C positive patients (81.1%) was significantly higher than that in the negative group (42.1%).
CONCLUSION: VEGF-C expression may induce lymphangiogenesis in colorectal cancer, as a result, tumor cells can entry the lymphatic vessels easily. VEGF-C may serve as a useful prognotic factor in colorectal carcinoma.