Expression of VEGF in breast lesions: an immunohistochemical study

Authors

  • Shuaeb Bhat Department of Pathology, Government Medical College, Anantnag, Jammu & Kashmir, India
  • Tania R. P. Consultant Pathologist, Shushrusha Co-operative Hospital, Dadar West, Mumbai, Maharashtra, India
  • Saleem Hussain Department of Hematopathology, Sher-I-Kashmir Institute of Medical Sciences Medical College, Srinagar, Jammu and Kashmir, India
  • Bushra Sahaf Department of Pathology, Sher-I-Kashmir Institute of Medical Sciences Medical College, Srinagar, Jammu and Kashmir, India
  • Irfan Ansari Department of Pathology, College of Medicine, Taibah University, Madinah Munawwarah, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-3933.ijam20190103

Keywords:

Breast lesions, Immunohistochemistry, VEGF

Abstract

Background: Breast cancer is the most frequent cancer in India. During the last few years, several investigators have focused on tumor angiogenesis as a critical step in cancer development and progression. Among these, vascular endothelial growth factor (VEGF) is emerging as a prognostic marker in patients with several type of cancer including breast cancer. The aim of the study was to analyse the expression of VEGF in human breast cancer as compared to normal breast tissue and benign breast lesions by immunohistochemistry. Also, to assess the usefulness of VEGF as a predictor of aggressiveness of breast lesions.

Methods: Formalin fixed paraffin embedded sections of 10 cases of normal breast tissue, 20 cases of benign breast lesions and 20 cases of malignant breast lesions were taken up for the study and subjected to immunohistochemistry using VEGF.

Results: The intensity of VEGF immunostaining in normal breast, benign and malignant breast lesions was evaluated and scoring was graded as 0, 1+, 2+, 3+ and 4+. Statistical analysis was performed with Chi-Square test and significant differences were noted between these 3 groups (p value <0.05).

Conclusions:VEGF expression correlated well with the grade and stage of tumor indicating that VEGF positive tumors are biologically aggressive and are associated with poor prognosis but little is known about the implication of genetic alterations of VEGF in benign breast lesions.

References

Chauhan A, Subba SH, Menezes RG, Shetty BS, Thakur V, Chabra S, et al. Younger women are affected by breast cancer in South India-a hospital-based descriptive study. Asian Pac J Cancer Prev. 2011;12(3):709-11.

Gasparini G, Bonoldi E, Gatti C, Vinante O, Toi M, Tominaga T, et al. Prognostic significance of vascular endothelial growth factor protein in node-negative breast carcinoma. J National Cancer Institute. 1997;89(2):139-47.

Apple SK, Hecht JR, Lewin DN, Jahromi SA, Grody WW, Nieberg RK. Immunohistochemical evaluation of K-ras, p53, and HER-2/neu expression in hyperplastic, dysplastic, and carcinomatous lesions of the pancreas: evidence for multistep carcinogenesis. Human Pathol. 1999;30(2):123-9.

Noranizah W, Siti-Aishah MA, Munirah MA, Norazlin MH, Rohaizak M, Naqiyah I, et al. Immunohistochemical expression of vascular endothelial growth factor (VEGF) and p53 in breast lesions. La Clinica Terapeutica. 2010;161:129-37.

Esraa A. Expression of VEGF in Breast lesions. Breast Cancer Res Treat. 2010;66:183-90.

Nakamura Y, Yasuoka H, Tsujimoto M, Yang Q, Tsukiyama A, Imabun S, et al. Clinicopathological significance of vascular endothelial growth factor-C in breast carcinoma with long-term follow-up. Modern Pathol. 2003;16(4):309.

Li Liquin. Study on expression of VEGF in breast lesions Can Res. 2011;57:3924-8.

Al-Harris ES, Al-Janabi AA, Al-Toriahi KM, Yasseen AA. Over expression of vascular endothelial growth factor in correlation to Ki-67, grade and stage of breast cancer. Saudi Med J. 2008;29(8):1099-104.

Schmidt M, Voelker HU, Kapp M, Dietl J, Kammerer U. Expression of VEGFR-1 (Flt-1) in breast cancer is associated with VEGF expression and with node-negative tumour stage. Anticancer Res. 2008;28(3A):1719-24.

Cimpean AM. Correlation of VEGF with recurrences, survival and first relapse site in primary breast cancer after adjuvant treatment. J Clin Oncol. 2008;18(7):1423-31.

Linderholm B, Lindh B, Tavelin B, Grankvist K, Henriksson R. p53 and vascular‐endothelial‐growth‐factor (VEGF) expression predicts outcome in 833 patients with primary breast carcinoma. Inter J Cancer. 2000;89(1):51-62.

Konecny GE, Meng YG, Untch M, Wang HJ, Bauerfeind I, Epstein M, et al. Association between HER-2/neu and vascular endothelial growth factor expression predicts clinical outcome in primary breast cancer patients. Clin Cancer Res. 2004;10(5):1706-16.

Shankar R, Tiwary SK, Khanna R, Kumar M, Khanna AK. Tumor angiogenesis: determined by vegf expression, mags scoring, doppler study, as prognostic indicator in carcinoma breast. Internet J Surg. 2006;8(1):5.

Callagy G, Dimitriadis E, Harmey J, Bouchier-Hayes D, Leader M, et al. Immunohistochemical measurement of tumor vascular endothelial growth factor in breast cancer: a more reliable predictor of tumor stage than micro-vessel density or serum vascular endothelial growth factor. Applied Immunohistochemistry Molecular Morphol. 2000;8(2):104-9.

Bolat F, Kayaselcuk F, Nursal TZ, Yagmurdur MC, Bal N, Demirhan B. Microvessel density, VEGF expression, and tumor-associated macrophages in breast tumors: correlations with prognostic parameters. Vascul. 2006;14:15.

Xu WG, Wang G, Zou YH, Song JN, Yang XQ, Wang WY. Vascular endothelial growth factor expression in invasive ductal carcinoma of breast. Chinese J Cancer Res. 2007;19(1):56-9.

MacConmara M, O'Hanlon DM, Kiely MJ, Connolly Y, Jeffers M, Keane FB. An evaluation of the prognostic significance of vascular endothelial growth factor in node positive primary breast carcinoma. Inter J Oncol. 2002;20(4):717-21.

Gasparini G, Toi M. Prognostic significance of vascular endothelial growth factor protein in node-negative breast carcinoma. J Nat Cancer Institute. 1997;89:39-47.

Obermair A, Kucera E, Mayerhofer K, Speiser P, Seifert M, Czerwenka K, et al. Vascular endothelial growth factor (VEGF) in human breast cancer: correlation with disease‐free survival. Inter J Cancer. 1997;74(4):455-8.

Li J, Song ST, Jiang ZF, Liu XQ, Yan LD. Significance of microvascular density and vascular endothelial growth factor in breast cancer. Chinese J Oncology. 2003;25(2):145-8.

Greb RR, Maier I, Wallwiener D. VEGF-A mRNA expression levels decrease after menopause in normal breast tissue but not in breast cancer lesions. Br J Cancer. 1999;81:225-31.

Fuckar D, Dekanic A, Stifter S. VEGF expression is associated with negative estrogen receptor status in patients with breast cancer. Intern J Surgical Path. 2006 Jan; 14(1):49-55.

Yi WJ, Tang ZH, Yang ZL, Yu MY, Li YS, Chen GN. Difference in expression of VEGF, bFGF and their receptors between the young and postmenopausal women with breast cancer. Chinese J Oncol. 2003;25(2):141-4.

Wang XB, Yang QX, Pei XJ. Expression of angiogenesis-related factors in invasive breast cancer and its clinical significance. J Southern Med Uni. 2006;26(6):860-3.

Hao L, Zhang C, Qiu Y, Wang L, Luo Y, Jin M, et al. Recombination of CXCR4, VEGF, and MMP-9 predicting lymph node metastasis in human breast cancer. Cancer Letters. 2007;253(1):34-42.

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Published

2019-01-23

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