Universitas Udayana - Indonesia
Tumor Angiogenesis Markers as Prognostic Factors in Advanced Cervical Cancer with Chemotherapy
Cervical cancer or maligancy of the cervix is the second leading cause of cancer-related death in women worldwide. Despite improving screening and vaccine capacity, most patients still present at the health centre with severe manifestations or advanced stages and poor prognosis. Clinical evidence also shows that the sensitivities of various cervical cancer patients' chemotherapy regimens vary significantly, increasing the patient's risk of complications and leading to ineffective therapy. Thus, an effective molecular marker is needed that can accurately predict and estimate the patient's prognosis and response to therapy. Angiogenesis is one of main factors in the development and progression of solid tumours, including cervical cancer. Tumour angiogenesis markers, such as vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor (VEGFR), play an important role progression of advanced cervical cancer. Studies showed that VEGF levels significantly correlated with prognosis (tumour size and metastasis) and chemotherapy response in patients with advanced cervical cancer treated with chemotherapy. Therefore, tumour angiogenesis markers, such as VEGF and VEGFR, could be used as a prognostic factor in advanced cervical cancer with chemotherapy.
Keywords: advanced cervical cancer, chemotherapy, prognosis, VEGF, VEGFR
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