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AIM: To investigate the role of Livin and vascular endothelial growth factor (VEGF) in human esophageal carcinoma,and analyze its relationship to clinical stages.METHODS: Expression of Livin in fresh esophageal cancer tissues was detected by immunohistochemistry(IHC),West blotting and reverse transcriptasepolymerase chain reaction (RT-PCR),and VEGF by West blotting and RT-PCR.All statistical analyses were performed by SPSS version 11.0.RESULTS: Livin positivity was also significantly correlated with tumor stages,increasing with tumor progression.Expression of Livin and VEGF increased with the process of esophageal carcinoma.In the fourth clinical stage,expression of Uvin and VEGF was the most significant.Expression of Livin was positively correlated with VEGF.CONCLUSION: Over-expression of Livin and VEGFcontributes to the pathogenesis of esophageal carcinoma.