2001
DOI: 10.1002/path.988
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PAS‐positive loops and networks as a prognostic indicator in cutaneous malignant melanoma

Abstract: Recently, microvascular channels, as detected by PAS histochemistry, were positively correlated with poor prognosis in uveal malignant melanoma. Since uveal melanomas are not penetrated by lymphatic vessels, while cutaneous melanomas are, the question arises as to whether these loops and networks are also of prognostic relevance in cutaneous melanoma. Histochemically and immunohistochemically detected loops and networks in 100 cases of cutaneous malignant melanoma were correlated with the occurrence of metasta… Show more

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Cited by 60 publications
(52 citation statements)
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References 17 publications
(22 reference statements)
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“…7,14 These patterns stain only focally and weakly for collagen I and are structurally different from stromal host-derived fibrovascular septa. There is a strong association between the histological detection of vasculogenic mimicry patterns in primary uveal [15][16][17][18][19][20][21] and cutaneous 22,23 melanomas and subsequent death from metastasis, consistent with the in vitro observations that these patterns are generated exclusively by highly invasive tumor cells. 1,4 Although differences in gene expression between poorly invasive and highly invasive melanoma cells capable of generating vasculogenic mimicry patterns have been identified, 1,24,25 there are no reports of gene expression in tumor cells that have generated patterns.…”
supporting
confidence: 60%
“…7,14 These patterns stain only focally and weakly for collagen I and are structurally different from stromal host-derived fibrovascular septa. There is a strong association between the histological detection of vasculogenic mimicry patterns in primary uveal [15][16][17][18][19][20][21] and cutaneous 22,23 melanomas and subsequent death from metastasis, consistent with the in vitro observations that these patterns are generated exclusively by highly invasive tumor cells. 1,4 Although differences in gene expression between poorly invasive and highly invasive melanoma cells capable of generating vasculogenic mimicry patterns have been identified, 1,24,25 there are no reports of gene expression in tumor cells that have generated patterns.…”
supporting
confidence: 60%
“…37 Although the specific functions that underlie VM remain unclear and at times controversial, VM is clearly associated with tumor aggressiveness, poor clinical outcome, and high risk of recurrence. 118,120,121 Furthermore, conventional antiangiogenic therapies, such as endostatin, have been ineffective at inhibiting VM. 122 The melanoma cells that form the patterned vascular channels characteristic of VM are highly invasive, multipotent cells that express primitive genes.…”
Section: How Primitive Melanoma Cells May Encourage 'Vasculogenic Mimmentioning
confidence: 99%
“…A specific example of melanoma cell plasticity is vasculogenic mimicry, which characterizes the unique ability of aggressive melanoma cells (but not poorly aggressive melanoma cells) to express endothelia-associated genes and form extracellular matrix (ECM)-rich vasculogenic-like networks in three-dimensional (3-D) culture [14; for review, see 12]. The formation of these networks recapitulates the embryonic development of vasculogenic networks, and they are associated with the distinctly patterned, ECMrich networks observed in aggressive tumors of patients with melanoma [8,[14][15][16][17]. Additional studies have confirmed vasculogenic mimicry in various tumor types [for review, see 12], including the demonstration of blood flow and fluid exchange between tumor cell-lined vascular spaces and endothelium-lined vasculature [18][19][20].…”
Section: Introductionmentioning
confidence: 99%