Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Surg Clin North Am. 2019 Jun;99(3):543-553. doi: 10.1016/j.suc.2019.02.012.
Gastrointestinal stromal tumors (GISTs) arise anywhere along the gastrointestinal tract, most commonly as a result of c-kit or PDGFRA proto-oncogene mutations. Surgical resection is an important component of treatment. However, molecular profiling of GISTs has provided many insights into adjuvant and neoadjuvant therapy options. Imatinib, the most frequently studied medical therapy, has been shown in numerous studies to provide benefit to patients in both the neoadjuvant and adjuvant setting. Interval imaging is an important component of the treatment of GISTs and national surveillance recommendations should be followed.
胃肠道间质瘤(GISTs)可发生于胃肠道的任何部位,最常见于 c-kit 或 PDGFRA 原癌基因突变。手术切除是治疗的重要组成部分。然而,GISTs 的分子谱分析为辅助和新辅助治疗方案提供了许多新的见解。伊马替尼是研究最多的一种药物治疗方法,大量研究表明其在新辅助和辅助治疗环境中均能使患者获益。间隔成像治疗 GISTs 的重要组成部分,应遵循国家监测建议。