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Angiogenesis, Vascular Imaging, and Therapeutic Approaches in Ovarian Tumors

  • Elise C. Kohn
  • Steven K. Libutti
Part of the Cardiovascular Molecular Morphogenesis book series (CARDMM)

Abstract

Angiogenesis has multiple critical purposes in the normal human ovary as described in the Chapters 7, 8, and 9. While the component processes underlying neovascularization may be similar between physiologic and tumor-associated angiogenesis (Kohn and Liotta, 1995), angiogenesis has a very different purpose in the context of malignant and nonmalignant ovarian neoplasms. Physiologic angiogenesis supplies nutrients necessary for normal cyclical ovarian function, production, and maintenance of the placenta during pregnancy, and development of the fetus. Those same vessels provide an outbound route for hormones and growth factors of ovarian origin and cellular and subcellular waste products. However, in malignancy an additional function is attributed to the vascular tree: provision of the conduit for tumor cell dissemination. This latter function allows completion of the key step that separates nonmalignant tumors from malignant tumors—the potential for invasion and development of tumor satellites. These metastatic deposits are the primary cause of death in advanced ovarian cancers of germ cell, stromal, and epithelial origin. The potential for tumor cell invasion is by itself inadequate for the process of tumor dissemination in the absence of vascular access. Thus, angiogenesis can be considered a rate-limiting process for normal ovarian function as well as in ovarian malignancies.

Keywords

Vascular Endothelial Growth Factor Ovarian Cancer Epithelial Ovarian Cancer Ovarian Tumor Corpus Luteum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Elise C. Kohn
  • Steven K. Libutti

There are no affiliations available

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