PMID- 21339405 OWN - NLM STAT- MEDLINE DCOM- 20110419 LR - 20161125 IS - 1538-361X (Electronic) IS - 0886-4470 (Linking) VI - 137 IP - 2 DP - 2011 Feb TI - A higher CD105-assessed microvessel density and worse prognosis in elderly patients with laryngeal carcinoma. PG - 175-80 LID - 10.1001/archoto.2010.244 [doi] AB - OBJECTIVES: To ascertain the prognostic role of endoglin (CD105)-assessed microvessel density (MVD) in patients older than 65 years with laryngeal squamous cell carcinoma (LSCC), and whether this MVD differed in the elderly patients from younger adult controls. DESIGN: Retrospective clinicopathologic investigation. SETTING: Academic tertiary referral center. PATIENTS: Fifty-seven consecutive elderly patients with LSCC and 19 younger adult controls. MAIN OUTCOME MEASURE: Image analysis of immunohistochemical reactions. RESULTS: In LSCCs in elderly patients, N+ stage correlated with a shorter disease-free survival (DFS) (P < .001). A higher CD105-assessed MVD was associated with disease recurrence (P = .006). The DFS was shorter in elderly patients whose CD105 expression was greater than 9.6% than in patients whose CD105 expression was 9.6% or less (P = .001). Among the elderly patients with tumors staged as N0, a higher CD105-assessed MVD correlated with disease recurrence (P = .006) and a shorter DFS (P = .001). CD105-assessed MVD in LSCC occurring in elderly patients did not differ from the situation observed in younger adult controls (P = .74). CONCLUSIONS: In LSCC occurring in elderly patients, CD105-assessed MVD may be a useful N-stage independent, angiogenic prognostic marker for pinpointing: (1) patients at higher risk of disease recurrence; and (2) patients with N0 tumors at higher risk of early recurrence, who may benefit from more aggressive therapy. FAU - Marioni, Gino AU - Marioni G AD - Department of Medical and Surgical Specialties, Otolaryngology Section, University of Padova, Via Giustiniani 2, 35128 Padova, Italy. gino.marioni@unipd.it FAU - Staffieri, Alberto AU - Staffieri A FAU - Manzato, Enzo AU - Manzato E FAU - Ralli, Giovanni AU - Ralli G FAU - Lionello, Marco AU - Lionello M FAU - Giacomelli, Luciano AU - Giacomelli L FAU - Prosenikliev, Vlatko AU - Prosenikliev V FAU - Marchese-Ragona, Rosario AU - Marchese-Ragona R FAU - Busnardo, Alessandra AU - Busnardo A FAU - Bolzetta, Francesco AU - Bolzetta F FAU - Blandamura, Stella AU - Blandamura S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Otolaryngol Head Neck Surg JT - Archives of otolaryngology--head & neck surgery JID - 8603209 RN - 0 (Antigens, CD) RN - 0 (Biomarkers, Tumor) RN - 0 (ENG protein, human) RN - 0 (Endoglin) RN - 0 (Receptors, Cell Surface) SB - IM MH - Aged MH - Antigens, CD/*analysis MH - Biomarkers, Tumor/analysis MH - Carcinoma, Squamous Cell/*blood supply/mortality/pathology/therapy MH - Case-Control Studies MH - Endoglin MH - Female MH - Humans MH - Immunohistochemistry MH - Laryngeal Neoplasms/*blood supply/mortality/pathology/therapy MH - Male MH - Microvessels/*pathology MH - Neoplasm Recurrence, Local/*pathology MH - Neovascularization, Pathologic/pathology MH - Prognosis MH - Receptors, Cell Surface/*analysis MH - Retrospective Studies EDAT- 2011/02/23 06:00 MHDA- 2011/04/20 06:00 CRDT- 2011/02/23 06:00 PHST- 2011/02/23 06:00 [entrez] PHST- 2011/02/23 06:00 [pubmed] PHST- 2011/04/20 06:00 [medline] AID - 137/2/175 [pii] AID - 10.1001/archoto.2010.244 [doi] PST - ppublish SO - Arch Otolaryngol Head Neck Surg. 2011 Feb;137(2):175-80. doi: 10.1001/archoto.2010.244.