Open Access

Analysis of vascular‑associated factors and the prognosis of poorly differentiated hypopharyngeal carcinoma

  • Authors:
    • Wei Guo
    • Gaofei Yin
    • Hongfei Liu
    • Hanyuan Duan
    • Zhigang Huang
  • View Affiliations

  • Published online on: September 21, 2020     https://doi.org/10.3892/ol.2020.12134
  • Article Number: 271
  • Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The aim of the present study was to analyze the characteristics of angiogenic factors in patients with hypopharyngeal cancer, and to study the effects of these factors on induction chemotherapy, patient prognosis and survival. Data from 60 eligible patients with hypopharyngeal cancer that were treated between January 2012 and December 2016 were collected retrospectively. The differential expression of angiogenic factors in tumor and peritumoral tissues was analyzed retrospectively to assess the association between five differentially expressed genes, including interleukin (IL)‑1β, transforming growth factor (TGF)‑β, matrix metalloproteinase‑9 (MMP‑9), angiopoietin‑2 and interferon‑inducible T‑cell α chemoattractant, and clinicopathological characteristics in different types of chemotherapy‑associated blood vessels within samples of poorly differentiated hypopharyngeal cancer. The χ2 test or t‑test was used to compare the frequency data, the Kaplan‑Meier method was used for survival analysis and the log‑rank test was used to compare the Kaplan‑Meier curves. P<0.05 was considered to indicate a statistically significant difference. The results of the present study demonstrated that there was a significant difference in the expression levels of vascular‑associated factors between hypopharyngeal carcinoma and peritumoral tissues. Additionally, the results revealed a significant difference in the overall survival and prognosis of patients with a decreased vascular classification compared with patients with an unchanged vascular classification, which was assessed using narrowband imaging (NBI) following induction chemotherapy (P<0.05). The results of single factor analysis indicated that IL‑1β, TGF‑β and MMP‑9 were associated with decreased blood vessel classification (P<0.05). In conclusion, IL‑1β, TGF‑β and MMP‑9 may be used as predictors of the effect of induction chemotherapy on poorly differentiated hypopharyngeal cancer. Therefore, when patients with advanced hypopharyngeal cancer undergo chemotherapy, NBI vascular examination and screening for associated vascular factors should be performed before and after chemotherapy. Alterations in vascular classification, assessed using NBI, and abnormal expression of vascular factors may also be used as reference factors for prognosis.
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November-2020
Volume 20 Issue 5

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Guo W, Yin G, Liu H, Duan H and Huang Z: Analysis of vascular‑associated factors and the prognosis of poorly differentiated hypopharyngeal carcinoma. Oncol Lett 20: 271, 2020
APA
Guo, W., Yin, G., Liu, H., Duan, H., & Huang, Z. (2020). Analysis of vascular‑associated factors and the prognosis of poorly differentiated hypopharyngeal carcinoma. Oncology Letters, 20, 271. https://doi.org/10.3892/ol.2020.12134
MLA
Guo, W., Yin, G., Liu, H., Duan, H., Huang, Z."Analysis of vascular‑associated factors and the prognosis of poorly differentiated hypopharyngeal carcinoma". Oncology Letters 20.5 (2020): 271.
Chicago
Guo, W., Yin, G., Liu, H., Duan, H., Huang, Z."Analysis of vascular‑associated factors and the prognosis of poorly differentiated hypopharyngeal carcinoma". Oncology Letters 20, no. 5 (2020): 271. https://doi.org/10.3892/ol.2020.12134