Des Guetz G, De Mestier Ph, Pierga Jean-Yves
Département de médecine, Institut Curie, Paris, France.
J Chir (Paris). 2002 Oct;139(5):268-73.
Gastrointestinal stromal tumors (GISTs) are non differentiated sarcoma of the gastrointestinal tract and have for a long time been confused with well differentiated tumors and classified as leiomyosarcoma. These tumors are characterized immunohistochemically by CD 117 staining. This marker represents the expression of c-kit which is a receptor for growth factor with enzymatic activity (tyrosine kinase). Recent studies have found that an inhibitor of specific tyrosine kinase is effective in the treatment of GIST with an estimated response rate of more than 60%. This new drug could significantly improve the prognosis of these aggressive chemoresistant tumors.
胃肠道间质瘤(GISTs)是胃肠道的未分化肉瘤,长期以来一直与高分化肿瘤混淆,并被归类为平滑肌肉瘤。这些肿瘤在免疫组织化学上以CD 117染色为特征。该标志物代表c-kit的表达,c-kit是一种具有酶活性(酪氨酸激酶)的生长因子受体。最近的研究发现,一种特异性酪氨酸激酶抑制剂对GIST的治疗有效,估计有效率超过60%。这种新药可以显著改善这些侵袭性化疗耐药肿瘤的预后。