Background/Purpose: Pathological vascular architecture is a feature of neoa
ngiogenic processes such as diseases of the retina and tumor growth. The au
thors hypothesized that experimental human Wilms' tumors would display a va
scular architecture similar to retinal diseases that are driven by vascular
endothelial growth factor (VEGF).
Methods: Human Wilms' tumors were established in the right kidneys of nude
mice. After 4.5 weeks of tumor growth, fluorescein angiograms were performe
d before death. Representative sections of tumors and contralateral, contro
l kidneys were evaluated by fluorescent microscopy.
Results: Fluorescein angiograms demonstrated a characteristic pathological
architecture. Vascular tortuosity, capillary tufting, and hemorrhage were n
oted. These features were not present in normal kidneys.
Conclusions: Vascular architecture of Wilms' tumor displays the specific fe
atures previously described in diseases of the retina, which have been show
n to be driven by VEGF, suggesting that neoangiogenesis in this model is al
so VEGF driven. Copyright (C) 1999 by W.B. Saunders Company.