“…In this regard, some clinical studies have suggested that elevated microvessel density, an indicator of angiogenic phenotype, is associated with progression of carcinoma in situ to invasive cancer, but some other clinical observations did not confirm these results (11,12). Similar conflicting results have been reported for VEGF levels in urine or plasma (13) or for VEGF and HIF-1␣ expression in the tumor, which some authors suggest as important for progression to invasive cancer (14 -16). Most studies include both CIS and pT1a types of * This work was supported, in whole or in part, by National Institutes of Health Grants DK62987, DK55001, AA13913, DK61688, and CA125550 (to R tumors, thus making their interpretation confounding.…”