Whole Slide Quantification of Stromal Lymphatic Vessel Distribution and Peritumoral Lymphatic Vessel Density in Early Invasive Cervical Cancer: A Method Description
Open Access
- 25 August 2011
- journal article
- Published by Hindawi Limited in ISRN Obstetrics and Gynecology
- Vol. 2011, 1-7
- https://doi.org/10.5402/2011/354861
Abstract
Peritumoral Lymphatic Vessel Density (LVD) is considered to be a predictive marker for the presence of lymph node metastases in cervical cancer. However, when LVD quantification relies on conventional optical microscopy and the hot spot technique, interobserver variability is significant and yields inconsistent conclusions. In this work, we describe an original method that applies computed image analysis to whole slide scanned tissue sections following immunohistochemical lymphatic vessel staining. This procedure allows to determine an objective LVD quantification as well as the lymphatic vessel distribution and its heterogeneity within the stroma surrounding the invasive tumor bundles. The proposed technique can be useful to better characterize lymphatic vessel interactions with tumor cells and could potentially impact on prognosis and therapeutic decisions.Keywords
Funding Information
- National Fund for Scientific Research
This publication has 27 references indexed in Scilit:
- Tumour expression of lymphangiogenic growth factors but not lymphatic vessel density is implicated in human cervical cancer progressionPathology, 2010
- PlGF expression in pre‐invasive and invasive lesions of uterine cervix is associated with angiogenesis and lymphangiogenesisAPMIS, 2009
- Tumor metastasis and the lymphatic vasculatureInternational Journal of Cancer, 2009
- The role of VEGF-C/D and Flt-4 in the lymphatic metastasis of early-stage invasive cervical carcinomaJournal of Experimental & Clinical Cancer Research, 2009
- Clinical implications of increased lymph vessel density in the lymphatic metastasis of early-stage invasive cervical carcinoma: a clinical immunohistochemical method studyBMC Cancer, 2009
- First international consensus on the methodology of lymphangiogenesis quantification in solid human tumoursBritish Journal of Cancer, 2006
- Lymphangiogenesis in human gynaecological cancersAngiogenesis, 2005
- Second international consensus on the methodology and criteria of evaluation of angiogenesis quantification in solid human tumoursEuropean Journal Of Cancer, 2002
- Resection of bulky positive lymph nodes in patients with cervical carcinomaInternational Journal of Gynecologic Cancer, 1995
- Prospective surgical-pathological study of disease-free interval in patients with stage IB squamous cell carcinoma of the cervix: A Gynecologic Oncology Group studyGynecologic Oncology, 1990