Qin X Y, Shen K T, Liu F L
Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Wai Ke Za Zhi. 2020 Jan 1;58(1):5-8. doi: 10.3760/cma.j.issn.0529-5815.2020.01.002.
As tumors originated from mesenchymal tissue, gastrointestinal stromal tumors (GIST) has its own typical history. For the idea of treatment for GIST at different historical periods, the role and value of surgery for the treatment of GIST keep changing. Laparoscopy and endoscopy will have the role they deserved. With the understanding of pathogenesis of GIST, targeted chemotherapy will be more and more accurate and individualized. How to improve the overall therapeutic effect of GIST, especially for the patients with the high risk and drug-resistance, is the dilemma and challenges for the surgeons.
作为起源于间叶组织的肿瘤,胃肠道间质瘤(GIST)有其自身典型的发展历程。对于不同历史时期GIST的治疗理念,手术在GIST治疗中的作用和价值不断变化。腹腔镜检查和内镜检查将发挥其应有的作用。随着对GIST发病机制的认识,靶向化疗将越来越精准和个体化。如何提高GIST的整体治疗效果,尤其是针对高危和耐药患者,是外科医生面临的困境和挑战。