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Background and Objectives:Angiogenesis and alteration of apoptosis are hypothesized to be the mechanisms of the growthof tumor. Vascular endothelial growth factor (VEGF) is considered to be the most primary factor prompting the angiogenesis intumor tissue, which also holds the central position in the course of formation and metastasis of tumor and regulates expression ofsurvivin. The survivin protein is the member of inhibitor of apoptosis protein (IAP) family which inhibits apoptosis. Recently,several authors reported survivin and VEGF expression was found in various cancer tissue and they are suggest to play on theimportant role in cancer development. The purpose of this study is to evaluate the expression of VEGF and survivin and toinvestigate their correlation with the clinical stage, nodal involvement, and histologic grade in the squamous cell carcinoma oflarynx. Subjects and Method:Immunohistochemical staining for the paraffin sections by using a polyclonal antibody forVEGF and survivin by the standard avidin-biotin-peroxidase technique was performed in 19 cases with the squamouse cellcarcinoma of larynx. The relationships between the expression of VEGF and survivin and clinicopathological characteristicswere analyzed. Results:Immunohistochemical analysis showed the expression of VEGF in 15 of 19 cases (78.9%) and survivinin 19 of 19 cases (100%). There was no correlation between the expression of VEGF and survivin and the clinical stage, nodalinvolvement, and histologic grade in the squamous cell carcinoma of larynx (p>0.05). But VEGF results in an increased expressionof survivin (p<0.05). Conclusion:Further study will be needed to understand the relationships between the VEGFand survivin and squamous cell carcinoma of larynx. (Korean J Otolaryngol 2006;49:1188-93)

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