TY - JOUR
T1 - Clinical significance of intratumoral blood flow in cervical carcinoma assessed by color doppler ultrasound
AU - Hsieh, Chang‐Yao ‐Y
AU - Wu, Chih‐Cheng ‐C
AU - Chen, Tzer‐Ming ‐M
AU - Chen, Chi‐An ‐A
AU - Chen, Chi‐Long ‐L
AU - Wang, Jin‐Fei ‐F
AU - Chang, Chin‐Feng ‐F
AU - Hsieh, Fon‐Jou ‐J
PY - 1995/5/15
Y1 - 1995/5/15
N2 - Background. Much evidence has suggested that vascular density reflects the clinical behavior of cancer. In this study, the intratumoral blood flow in cervical carcinomas was assessed by transvaginal color Doppler ultrasound, and its clinical significance was evaluated. Methods. Sixty‐five patients with Stage Ib‐IIb cervical carcinoma exhibiting visible cervical tumor by trans‐vaginal ultrasound were enrolled. All patients were scheduled for radical hysterectomy and pelvic lymph node dissection. Transvaginal color Doppler ultrasound was performed before surgery to search for blood flow signals tumor and the main uterine artery. The corresponding arterial resistance index (RI) was calculated. Clinical and pathologic data were recorded. A cyto‐kinetic study was performed by propidium iodide staining and flow cytometry. The human papillomavirus (HPV) status was assessed by polymerase chain reaction. Results. Intratumoral blood flow was detected by color Doppler ultrasound in 46.2% (30/65) of the tumors. Patients with detectable intratumoral blood flow exhibited significantly more pelvic lymph node metastasis (10/30 vs. 2/35, P = 0.005), a higher percentage of cancer cells in the S‐ + G2M‐phase (30.02±18.54% vs. 19.35±11.21%, P < 0.005), and a higher prevalence of HPV infection (30/ 30 vs. 25/35, P = 0.001) when compared with those without intratumoral blood flow. No significant difference was observed concerning the patient's age, tumor size, clinical staging, histologic type, and DNA ploidy status between these two groups. Regression analysis of the showed linear regression (n = 30, r2 = 0.501, P < 0.01). The RI values of the main uterine artery showed no significant difference between these two groups. Conclusion. The intratumoral blood flow by transvaginal color Doppler ultrasound correlated well with a higher proliferation index, higher incidence of HPV infection, and pelvic lymph node metastasis in cervical carcinoma.
AB - Background. Much evidence has suggested that vascular density reflects the clinical behavior of cancer. In this study, the intratumoral blood flow in cervical carcinomas was assessed by transvaginal color Doppler ultrasound, and its clinical significance was evaluated. Methods. Sixty‐five patients with Stage Ib‐IIb cervical carcinoma exhibiting visible cervical tumor by trans‐vaginal ultrasound were enrolled. All patients were scheduled for radical hysterectomy and pelvic lymph node dissection. Transvaginal color Doppler ultrasound was performed before surgery to search for blood flow signals tumor and the main uterine artery. The corresponding arterial resistance index (RI) was calculated. Clinical and pathologic data were recorded. A cyto‐kinetic study was performed by propidium iodide staining and flow cytometry. The human papillomavirus (HPV) status was assessed by polymerase chain reaction. Results. Intratumoral blood flow was detected by color Doppler ultrasound in 46.2% (30/65) of the tumors. Patients with detectable intratumoral blood flow exhibited significantly more pelvic lymph node metastasis (10/30 vs. 2/35, P = 0.005), a higher percentage of cancer cells in the S‐ + G2M‐phase (30.02±18.54% vs. 19.35±11.21%, P < 0.005), and a higher prevalence of HPV infection (30/ 30 vs. 25/35, P = 0.001) when compared with those without intratumoral blood flow. No significant difference was observed concerning the patient's age, tumor size, clinical staging, histologic type, and DNA ploidy status between these two groups. Regression analysis of the showed linear regression (n = 30, r2 = 0.501, P < 0.01). The RI values of the main uterine artery showed no significant difference between these two groups. Conclusion. The intratumoral blood flow by transvaginal color Doppler ultrasound correlated well with a higher proliferation index, higher incidence of HPV infection, and pelvic lymph node metastasis in cervical carcinoma.
KW - cervical carcinoma
KW - color Doppler ultrasound
KW - cytokinetics
KW - human papillomavirus
KW - metastasis
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U2 - 10.1002/1097-0142(19950515)75:10<2518::AID-CNCR2820751018>3.0.CO;2-A
DO - 10.1002/1097-0142(19950515)75:10<2518::AID-CNCR2820751018>3.0.CO;2-A
M3 - Article
C2 - 7736396
AN - SCOPUS:0028999572
SN - 0008-543X
VL - 75
SP - 2518
EP - 2522
JO - Cancer
JF - Cancer
IS - 10
ER -
