Desmoplasia and Angiogenesis of Human Gastric Submucosa-Invasive Carcinomas
Junko NAGATA1*, Tadashi YOSHIZAWA2, Shintaro GOTO2, Takayoshi SUZUKI1, Hiroshi KIJIMA2.
1Department of Gastroenterology, Tokai University Hachioji Hospital, Hachioji, Japan.
2Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Citation: NAGATA J, YOSHIZAWA T, GOTO S, SUZUKI T, KIJIMA H (2024) Desmoplasia and Angiogenesis of Human Gastric Submucosa-Invasive Carcinomas. SciTech Biomed-Cancer 2024.
Received: March 04, 2024 Accepted: March 08, 2024 Published: March 08, 2024
Abstract
The prognosis of human gastric cancer (stomach cancer) in advanced stage is generally poor, because the tumor has often metastasized. Desmoplasia (reactive fibrosis) and angiogenesis in the cancer microenvironment are important processes of cancer invasion/metastasis. We focused on the desmoplasia and angiogenesis using surgically/endoscopically resected submucosa-invasive carcinomas of the stomach. Desmoplasia is recognized as increase of cancer-associated fibroblasts, and irregular collagen bundles. Desmoplasia-positive cases significantly showed high-grade lymphatic/venous angiogenesis, compared with desmoplasia-negative cases (angiogenesis score: lymphatic 2.34 vs 1.27, p<0.001; venous 2.21 vs 1.69, p<0.005). Lymphatic/venous invasion of cancer cells was frequently found in the desmoplasia-positive cases, compared with desmoplasia-negative cases (lymphatic 89.5% vs 7.7%, p<0.001; venous 76.3% vs 34.6%, p<0.001). In conclusion, the desmoplasia is thought to play important roles of angiogenesis, and lymphatic/venous invasion, i.e., metastatic potentials of stomach cancer.