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Table 2 Associations between different categories of vascular invasion with and without IHC and various clinicopathological variables

From: Tumor cell invasion in blood vessels assessed by immunohistochemistry is related to decreased survival in patients with bladder cancer treated with radical cystectomy

 

BVI

LVI

VI

Variables

Neg (n,%)

Pos (n,%)

OR (95% CI)

p value

Neg (n,%)

Pos (n,%)

OR (95% CI)

p value

Neg (n,%)

Pos (n,%)

OR (95% CI)

p value

No. Patients (n = 292)

211 (72)

81 (28)

  

200 (69)

92 (32)

  

201 (69)

91 (31)

  

Age at surgery, median

 40–72

120 (57)

34 (42)

1

 

107 (54)

47 (51)

1

 

112 (56)

42 (46)

1

 

 73–88

91 (43)

47 (58)

1.8 (1.1–3.1)

0.022

93 (46)

45 (49)

1.1 (0.7–1.8)

0.70

89 (44)

49 (54)

1.5 (0.8–2.4)

0.13

Female

50 (24)

18 (22)

  

45 (23)

23 (25)

1

 

49 (24)

19 (21)

1

 

Males

161 (76)

63 (78)

0.9 (0.5–1.7)

0.79

155 (77)

69 (75)

1.1 (0.6–2.0)

0.64

152 (76)

72 (79)

0.8 (0.5–1.5)

0.51

Pathological stage

 t1 + 2

101 (48)

11 (14)

1

 

83 (42)

29 (32)

1

 

99 (49)

13 (14)

1

 

 t3 + 4

110 (52)

70 (86)

5.8 (2.9–11.7)

< 0.001

117 (58)

63 (68)

1.5 (0.9–2.6)

0.10

102 (51)

78 (86)

5.8 (3.0–11.1)

< 0.001

Nodal status (n = 256)

 N0

140 (74)

30 (45)

1

 

130 (73)

40 (51)

  

138 (78)

32 (41)

1

 

 N1–3

49 (26)

37 (55)

3.5 (1.9–6.3)

< 0.001

48 (27)

38 (49)

2.6 (1.5–4.5)

0.001

39 (22)

47 (60)

5.2 (2.9–9.2)

< 0.001

Diverg diff (n = 274)

 Other (ref. gr. UTC, no diverg diff)

123 (89)

38 (86)

1

 

115 (91)

46 (81)

1

 

116 (91)

45 (79)

1

 

 Micropapillary

16 (7.4)

6 (14)

1.2 (0.4–3.3)

0.71

11 (9)

11 (19)

2.5 (1.0–6.2)

0.042

11 (8.7)

12 (21)

2.8 (1.2–6.8)

0.019

Tumor subsites

 Other

189 (90)

54 (67)

1

 

171 (86)

72 (78)

1

 

179 (89)

64 (70)

1

 

 Bladder neck

22 (10)

27 (33)

4.3 (2.3–8.1)

< 0.001

29 (14)

20 (22)

1.6 (0.9–3.1)

0.12

22 (11)

27 (30)

3.4 (1.8–6.5)

< 0.001

Surgical margin positivity

 No

194 (92)

69 (85)

1

 

184 (92)

79 (86)

1

 

189 (94)

74 (81)

1

 

 Yes

17 (8)

12 (15)

1.9 (0.9–4.4)

0.084

16 (8)

13 (14)

1.9 (0.9–4.1)

0.10

12 (6)

17 (19)

3.6 (1.6–7.9)

0.001

Perioperative chemotherapy

 No

158 (75)

63 (78)

1

 

151 (76)

70 (76)

  

154 (77)

67 (74)

1

 

 Yes

53 (25)

18 (22)

0.9 (0.5–1.6)

0.61

49 (24)

22 (24)

0.9 (0.5–1.7)

0.91

47 (23)

24 (26)

1.2 (0.7–2.1)

0.58

Local recurrence*

 No

162 (77)

52 (64)

1

 

148 (74)

66 (72)

1

 

157 (78)

57 (63)

1

 

 Yes

49 (23)

29 (36)

1.8 (1.1–3.2)

0.030

52 (26)

26 (28)

1.1 (0.6–1.9)

0.685

44 (22)

34 (37)

2.1 (1.2–3.7)

0.006

Distant metastasis

 No

124 (59)

26 (32)

1

 

108 (54)

42 (46)

1

 

121 (60)

29 (32)

1

 

 Yes

87 (41)

55 (68)

3.0 (1.8–5.2)

< 0.001

92 (39)

50 (54)

1.4 (0.9–2.3)

0.19

80 (40)

62 (68)

3.2 (1.9–5.5)

< 0.001

  1. P values were obtained using Pearson’s χ2 test. Abbreviations: BVI blood vessel invasion, LVI lymph vessel invasion, VI vascular invasion assessed without IHC. * recurrences in soft tissue at the surgical site and/or regional lymph nodes