Shi H, Xu JM, Hu NZ, Xie HJ. Prognostic significance of expression of cyclooxygenase-2 and vascular endothelial growth factor in human gastric carcinoma. World J Gastroenterol 2003; 9(7): 1421-1426 [PMID: 12854133 DOI: 10.3748/wjg.v9.i7.1421]
Corresponding Author of This Article
Dr. Hai Shi, Department of Gastroenterology, the First Affiliated Hospital, Anhui Medical University, Hefei 23022, Anhui Province, China. shmdah@hotmail.com
Article-Type of This Article
Gastric Cancer
Open-Access Policy of This Article
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World J Gastroenterol. Jul 15, 2003; 9(7): 1421-1426 Published online Jul 15, 2003. doi: 10.3748/wjg.v9.i7.1421
Table 1 Correlation between clinicopathologic factors and survival time
Variables
Alive more than 5 years n = 106
Died within 5 years n = 47
P value
Gender
Male
76 (71.7)
33 (70.2)
NS
Female
30 (28.3)
14 (29.8)
Age(years)
< 60
28 (26.4)
18 (38.3)
NS
≥ 60
78 (73.6)
29 (61.7)
Location of tumor
Cardia
19 (17.9)
11 (23.4)
NS
Corpus
37 (34.9)
17 (31.9)
Antrum
50 (47.2)
21 (44.7)
Depth of invasion
Mucosa or submucosa
57 (53.8)
6 (12.8)
< 0.01
Muscularis propria
49 (46.2)
41 (87.2)
Histology
Differentiated
41 (38.7)
19 (40.4)
NS
Undifferentiated
65 (61.3)
28 (59.6)
Lymph node metastasis
Present
21 (19.8)
38 (80.9)
< 0.01
Absent
85 (80.2)
9 (19.1)
Vascular invasion
Present
9 (8.5)
26 (55.3)
< 0.01
Absent
97 (91.5)
21 (44.7)
Chemotherapy
Yes
69 (65.1)
20 (42.6)
< 0.05
No
37 (34.9)
27 (57.4)
Table 2 Correlation between COX-2 expression and clinicopathologic factors
Variables
n
COX-2 n(%)
P value
Positive
Negative
Gender
Male
168
30 (17.9)
138 (82.1)
NS
Female
64
12 (18.7)
52 (81.3)
Age(years)
< 60
145
25 (17.2)
120 (82.8)
NS
≥ 60
87
17 (19.5)
70 (80.5)
Location of tumor
Cardia
61
7 (11.5)
54 (88.5)
NS
Corpus
77
19 (24.7)
58 (75.3)
Antrum
94
16 (17.1)
78 (82.9)
Histology
Differentiated
129
7 (5.4)
122 (94.6)
< 0.01
Undifferentiated
103
35 (33.9)
68 (66.1)
Lymph node metastasis
Present
64
2 (3.1)
62 (96.9)
< 0.01
Absent
168
40 (23.8)
128 (76.2)
Vascular invasion
Present
39
2 (5.1)
37 (94.9)
< 0.05
Absent
193
40 (20.7)
153 (79.3)
Depth of invasion
Mucosa or submucosa
94
19 (20.2)
75 (79.8)
NS
Muscularis propria
138
23 (16.7)
115 (83.3)
Noncancerous tissue
CAG
30
23 (76.7)
7 (23.3)
< 0.01
Atypical hyperplasia
30
12 (40.0)
18 (60.0)
Table 3 Correlation between VEGF, MVD and clinicopathologic factors
Variables
n
VEGF n (%)
MVD
Positive
P value
¯x ± s
P value
Gender
Male
168
88 (52.4)
NS
22.11 ± 9.14
NS
Female
64
34 (53.1)
24.21 ± 8.85
Tumor size (cm)
< 5 cm
163
87 (53.4)
NS
23.17 ± 9.53
NS
≥ 5 cm
69
35 (50.7)
23.69 ± 8.26
Depth of invasion
Mucosa or submucosa
94
26 (27.7)
< 0.01
18.08 ± 8.32
< 0.01
Muscularis propria
138
96 (69.6)
26.41 ± 8.44
Histology
Differentiated
129
70 (54.3)
NS
23.48 ± 9.01
NS
Undifferentiated
103
52 (50.5)
23.25 ± 9.06
Lymph node metastasis
Present
64
47 (73.4)
< 0.01
28.52 ± 4.39
< 0.01
Absent
168
75 (44.6)
19.73 ± 8.47
Vascular invasion
Present
39
29 (74.4)
< 0.01
28.94 ± 5.03
< 0.01
Absent
193
93 (48.2)
21.67 ± 9.12
Noncancerous tissue
CAG
30
3 (10.0)
NS
10.43 ± 4.22
NS
Atypical hyperplasia
30
5 (16.7)
11.56 ± 6.17
Table 4 Risk factors affecting survival determined by multivariate analysis using the Cox proportional hazards model
Variables
Regression coefficient
Standard error
Odds ratio (95% confidence interval)
P value
Histology (differentiated/undifferentiated)
0.564
0.337
1.758 (1.583-2.147)
NS
Depth of invasion (EGC/muscularis propria)
0.524
0.248
1.688 (1.638-1.714)
< 0.05
Lymph node metastasis (present/absent)
0.796
0.1934
2.220 (1.518-3.239)
< 0.01
Vascular invasion (present/absent)
0.413
0.213
2.003 (1.499-2.460)
< 0.01
COX-2 expression (positive/negative)
0.776
0.194
2.173 (1.486-3.178)
< 0.01
VEGF expression (positive/negative)
1.071
0.254
2.917 (1.774-4.796)
< 0.01
Citation: Shi H, Xu JM, Hu NZ, Xie HJ. Prognostic significance of expression of cyclooxygenase-2 and vascular endothelial growth factor in human gastric carcinoma. World J Gastroenterol 2003; 9(7): 1421-1426