Publication: Microcirculation density and maturity
in uterine and soft tissue leiomyosarcomas:
an immunohistochemical study
Authors
Caraffi, Stefano ; Corradi, Domenico ; Campanini, Nicoletta ; Govoni, Paolo ; Rocchi, Laura ; Perris, Roberto ; Mangieri, Domenica
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Publisher
F. Hernández y Juan F. Madrid. Universidad de Murcia: Departamento de Biología Celular e Histología
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DOI
https://doi.org/10.14670/HH-30.69
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info:eu-repo/semantics/article
Description
Abstract
The role of angiogenesis as a hallmark of
tumor progression has been poorly explored in
leiomyosarcoma, a rare but aggressive mesenchymal
malignancy. We aimed to characterize microvessel
distribution and morphology - including pericyte
coverage - in a retrospective series of leyomiosarcomas
of the soft tissues and the uterus. 41 whole-block tumor
slides from formalin-fixed paraffin-embedded tissues
were immunostained for endothelial-specific marker
CD31 and microvessel density was quantified by
assigning a grade to the frequency of CD31 positive
microvessels. Vessel morphology and pericyte coverage
were investigated by double-labeling for CD31 and
either PDGFRβ, αSMA, desmin, CD90, or CD146. We
found that microvessel density correlated with tumor
grade in leiomyosarcoma of soft tissues, in analogy with
what has been established in several types of carcinoma.
This did not apply to uterine leiomyosarcoma, possibly
due to the abundant myometrial vascularization. The
evaluation of perivascular cell markers related to vessel
stability revealed immature microvascular networks with
aberrant pericyte coverage, irrespective of tumor origin
or grade. Our observations substantiate the role of
angiogenesis in the progression of soft tissue
leiomyosarcoma. A multiple-marker approach to the
assessment of pericyte coverage can identify different
profiles of vessel immaturity correlated with tumor
grade.
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Citation
Histology and Histopathology, Vol. 30, n.º 1 (2015)
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