Pan Zhi-zhong, Wu Xiao-jun
Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in Southern China, Guangdong 510060, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2013 Mar;16(3):212-5.
Gastrointestinal stromal tumor (GIST) represents the most common mesenchymal tumor of the gastrointestinal tract. With decades of development, surgical excision combined with molecular targeted agents is becoming the mode for the GIST treatment. Imatinib mesylate (IM) is the first-line therapy medicine for GIST adjuvant treatment, and it significantly reduces recurrence or metastasis and increases survival. According to the recently results of SSGXVIII/AIO study, imatinib adjuvant therapy should be administered for at least 3 years for the GIST patients with a high estimated risk of recurrence and metastasis after surgery. Nevertheless, the optimal duration of the adjuvant therapy or the follow-up policy remains unclear, and we look forward to standard assessment criteria for individualized treatment.
胃肠道间质瘤(GIST)是胃肠道最常见的间叶组织肿瘤。经过数十年的发展,手术切除联合分子靶向药物正成为GIST的治疗模式。甲磺酸伊马替尼(IM)是GIST辅助治疗的一线治疗药物,它能显著降低复发或转移率并提高生存率。根据SSGXVIII/AIO研究的最新结果,对于术后复发和转移估计风险较高的GIST患者,伊马替尼辅助治疗应至少持续3年。然而,辅助治疗的最佳持续时间或随访策略仍不明确,我们期待有个体化治疗的标准评估标准。