@article{3129874, title = "Prognostic significance of angiogenesis in relation to Ki-67, p-53, p-27, and bcl-2 expression in embryonal tumors", author = "Moschovi, M. and Koultouki, E. and Stefanaki, K. and Sfakianos, G. and Tourkantoni, N. and Prodromou, N. and Alexiou, G.A.", journal = "Pediatric Neurosurgery", year = "2011", volume = "47", number = "4", pages = "241-247", publisher = "S Karger AG", issn = "1016-2291, 1423-0305", doi = "10.1159/000335398", keywords = "carboplatin; cisplatin; cyclophosphamide; etoposide; Ki 67 antigen; methotrexate; protein bcl 2; protein p27; protein p53; vincristine, adolescent; angiogenesis; article; benign tumor; blood vessel; cancer chemotherapy; child; clinical article; density; embryonal tumor; female; human; male; medulloblastoma; overall survival; preschool child; priority journal; prognosis; progression free survival; protein expression; retrospective study; rhabdoid tumor; school child; teratoma", abstract = "Aim: We investigated the angiogenesis and density of newly formed blood vessels in embryonal tumors in relation to Ki-67, bcl-2, p-53 and p-27 expression. Methods: Forty-five children with embryonal tumors were enrolled in the study. Forty patients had a medulloblastoma (MB) and 5 patients had atypical teratoid/rhabdoid tumor (AT/RT). Results: In MB, the 5-year PFS and OS was 62.5 and 70%, respectively. Patients with Ki-67 index >50%, bcl-2 index >30% and higher density of new vessels were associated with worse survival. In the multivariate analysis, Ki-67 index was identified as a factor with independent prognostic power. In AT/RTs, high density of new vessels (>25 HRF) was observed in 3 patients and Ki-67 index over 25% was found in 4 patients. Conclusion: Increased Ki-67, bcl-2 and density of new vessels are of prognostic value for the disease outcome in MB. Copyright © 2012 S. Karger AG, Basel." }