Abstract
In 212 postmenopausal women with node-positive oestrogen receptor-positive (ER(LBA)) breast cancer subjected to radical surgery and adjuvant tamoxifen, the risk of 6-year relapse increased with increasing values of intratumoral vascular endothelial growth factor (VEGF) in patients whose tumours had a low/intermediate ER(LBA) content compared to patients with high-ER(LBA) tumours. These findings indicate that tumour progression, activated or sustained by high VEGF levels, may be counteracted in high-ER(LBA) cancers by tamoxifen, which in contrast fails to contrast the metastatic potential in low-ER(LBA) tumours.
Publication types
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Clinical Trial
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged
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Aged, 80 and over
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Antineoplastic Agents, Hormonal / administration & dosage
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Antineoplastic Agents, Hormonal / pharmacology*
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Breast Neoplasms / drug therapy*
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Breast Neoplasms / physiopathology*
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Breast Neoplasms / surgery
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Chemotherapy, Adjuvant
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Disease Progression
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Endothelial Growth Factors / blood*
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Female
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Humans
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Intercellular Signaling Peptides and Proteins / blood*
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Lymphatic Metastasis
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Lymphokines / blood*
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Mastectomy
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Middle Aged
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Postmenopause
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Predictive Value of Tests
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Prognosis
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Receptors, Estrogen / analysis*
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Risk Factors
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Tamoxifen / administration & dosage
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Tamoxifen / pharmacology*
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Vascular Endothelial Growth Factor A
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Vascular Endothelial Growth Factors
Substances
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Antineoplastic Agents, Hormonal
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Endothelial Growth Factors
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Intercellular Signaling Peptides and Proteins
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Lymphokines
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Receptors, Estrogen
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Vascular Endothelial Growth Factor A
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Vascular Endothelial Growth Factors
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Tamoxifen