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胃肠道间质瘤(GIST)的计算机断层扫描成像特征及相关诊断问题

Characteristics of computed tomography imaging of gastrointestinal stromal tumor (GIST) and related diagnostic problems.

作者信息

Werewka-Maczuga Agnieszka, Osiński Tomasz, Chrzan Robert, Buczek Magda, Urbanik Andrzej

机构信息

Radiology Department, Jagiellonian University Medical College, Cracow, Poland.

出版信息

Pol J Radiol. 2011 Jul;76(3):38-48.

PMID:22802840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3389934/
Abstract

In this article, authors presented several characteristic features of Gastrointestinal Stromal Tumors (GISTs), which may lead to diagnostic errors and unexpected difficulties during interpretation of CT images. In case of GIST, one may encounter problems at every level of diagnostics and treatment response monitoring, especially after introduction of modern molecular targeting therapies. RECIST scale criteria, used until now for evaluation of response to treatment in solid tumors are based merely on the size of the tumor and turned out to be inadequate after introduction of treatment with new molecular target drugs such as Imatinib.

摘要

在本文中,作者介绍了胃肠道间质瘤(GIST)的几个特征,这些特征可能会在CT图像解读过程中导致诊断错误和意外困难。对于GIST,在诊断和治疗反应监测的各个层面都可能遇到问题,尤其是在引入现代分子靶向治疗之后。目前用于评估实体瘤治疗反应的RECIST标准仅仅基于肿瘤大小,在引入伊马替尼等新型分子靶向药物治疗后,该标准被证明是不够的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/922c7fa891d1/poljradiol-76-3-38-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/e4b5095a090d/poljradiol-76-3-38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/a0d9fae6bec3/poljradiol-76-3-38-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/8edaeaf20e37/poljradiol-76-3-38-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/9c5ba5219a94/poljradiol-76-3-38-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/a5d33dc6cb71/poljradiol-76-3-38-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/922c7fa891d1/poljradiol-76-3-38-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/e4b5095a090d/poljradiol-76-3-38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/a0d9fae6bec3/poljradiol-76-3-38-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/8edaeaf20e37/poljradiol-76-3-38-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/9c5ba5219a94/poljradiol-76-3-38-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/a5d33dc6cb71/poljradiol-76-3-38-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f1/3389934/922c7fa891d1/poljradiol-76-3-38-g008.jpg

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本文引用的文献

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Follow-up of hepatic and peritoneal metastases of gastrointestinal tumors (GIST) under Imatinib therapy requires different criteria of radiological evaluation (size is not everything!!!).伊马替尼治疗下胃肠道肿瘤(胃肠道间质瘤)肝转移和腹膜转移的随访需要不同的放射学评估标准(大小并非一切!!!)。
Eur J Radiol. 2009 Feb;69(2):204-8. doi: 10.1016/j.ejrad.2008.10.009. Epub 2008 Nov 28.
2
Gastrointestinal stromal tumors: key to diagnosis and choice of therapy.胃肠道间质瘤:诊断及治疗选择的关键
Mol Diagn Ther. 2008;12(3):131-43. doi: 10.1007/BF03256278.
3
Clonal evolution of resistance to imatinib in patients with metastatic gastrointestinal stromal tumors.
一例直肠胃肠道间质瘤病例,在F-FDG PET/CT上表现为癌胚抗原升高,酷似直肠癌。
Am J Nucl Med Mol Imaging. 2023 Feb 15;13(1):26-32. eCollection 2023.
4
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World J Surg Oncol. 2023 Mar 9;21(1):85. doi: 10.1186/s12957-023-02968-0.
5
Clinical features of multiple gastrointestinal stromal tumors: A pooling analysis combined with evidence and gap map.多发性胃肠道间质瘤的临床特征:一项结合证据和差距图的汇总分析
World J Gastroenterol. 2020 Dec 21;26(47):7550-7567. doi: 10.3748/wjg.v26.i47.7550.
6
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