YU Jing-ping,SUN Zhi-qiang,NI Xin-chu,et al.Clinical significance of changes of serum vascular endothelial growth factor level before and after radiotherapy in patients with esophageal carcinoma[J].Chinese Journal of Radiological Medicine and Protection,2011,31(6):671-674
Clinical significance of changes of serum vascular endothelial growth factor level before and after radiotherapy in patients with esophageal carcinoma
Received:March 22, 2011  
DOI:10.3760/cma.j.issn.0254-5098.2011.06.013
KeyWords:Esophageal carcinoma  Radiotherapy  Vascular endothelial growth factor
FundProject:常州市青年科技培养计划(CQ2008006);常州市社会发展指导性项目(CS2008920)
Author NameAffiliation
YU Jing-ping Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
SUN Zhi-qiang Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
NI Xin-chu Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
WANG Jian Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
LI Yi Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
HU Li-jun Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
LI Dong-qing Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
SUN Su-ping Department of Radiation Oncology, Changzhou Second Hospital, Nanjing Medical University, Changzhou 213003, China 
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Abstract::
      Objective To investigate the changes and clinical value of serum vascular endothelial growth factor (VEGF) level before, during and after radiotherapy in patients with esophageal carcinoma. Methods The sera of 67 esophageal carcinoma patients and 30 healthy control cases were collected.The VEGF level in serum samples were measured with enzyme-linked immunosorbent assay (ELISA) method.The relations among VEGF level changes, clinical stages and radiotherapy effect were analyzed. Results The VEGF levels of patients with esophagus cancer before, during and after radiotherapy were significantly higher than those in control group (F=11.65, P<0.01). The VEGF level after radiotherapy was significant lower than that before radiotherapy(F=10.72, P<0.01). The average VEGF level of patients with T3 and T4 was significantly higher than that of control group(F=14.10, P<0.01). The average VEGF level of patients with N1 and N2 was significantly higher than that of control group(F=8.64, P<0.01). In 62 patients,the serum VEGF level increased in 21 cases but decreased in 41 cases after radiotherapy. With difference in radiotherapy efficiency of 61.90% and 90.24%, respectively(χ2=6.08, P<0.05).The average VEGF level during and after radiotherapy for 50 cases of CR+PR were significantly lower than that before radiotherapy(F=7.98,P<0.01). Conclusions Monitoring the serum VEGF level of patients with esophagus cancer can help evaluate the radiosensitivity, which has a significance in predicting the prognosis of radiotherapy.
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