Li Jian, Shen Lin
Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education of Beijing, Department of Gastrointestinal Oncology, Peking University Cancer Hospital and Institute, Beijing, China.
Cancer. 2020 May 1;126 Suppl 9:2048-2053. doi: 10.1002/cncr.32684.
China still lacks statistical data regarding the incidence of gastrointestinal stromal tumors (GISTs). Data from 3 regions have demonstrated that the incidence of GISTs in China is similar to that in the United States. Furthermore, no significant differences between both nations with regard to epidemiological characteristics and genotyping of GISTs have been reported. Chinese physicians are demonstrating an increased interest in studies regarding GISTs. Currently, to the authors' knowledge, China publishes the most research articles regarding GIST annually worldwide. Despite the paucity of relevant research regarding the clinical practices for GISTs, a series of studies performed by Chinese physicians in the fields of recurrence risk classification, laparoscopic surgery, and adjuvant therapy have contributed to the diagnosis and treatment of GISTs. The lack of innovative drugs, slow approval of new drugs, and insufficient research funds have limited further advancements in GIST-related research in China. In recent years, increased investment in scientific research has allowed for these advancements to be made by creating conditions for Chinese physicians to conduct high-level clinical research. Chinese researchers hope to further shorten the gap between China and the rest of the world in the field of GIST research within a relatively short period. The purpose of the current review article was to present the most updated information regarding the diagnosis and treatment of GISTs in Chinese medical practice and to suggest prospective research in this field.
中国仍缺乏关于胃肠道间质瘤(GIST)发病率的统计数据。来自3个地区的数据表明,中国GIST的发病率与美国相似。此外,尚未报道两国在GIST的流行病学特征和基因分型方面存在显著差异。中国医生对GIST相关研究的兴趣日益浓厚。目前,据作者所知,中国每年在全球发表的关于GIST的研究文章最多。尽管关于GIST临床实践的相关研究较少,但中国医生在复发风险分类、腹腔镜手术和辅助治疗等领域开展的一系列研究为GIST的诊断和治疗做出了贡献。创新药物的缺乏、新药审批缓慢以及研究资金不足限制了中国GIST相关研究的进一步发展。近年来,科研投入的增加为中国医生开展高水平临床研究创造了条件,从而实现了这些进展。中国研究人员希望在相对较短的时间内进一步缩小中国与世界其他国家在GIST研究领域的差距。本综述文章的目的是介绍中国医学实践中关于GIST诊断和治疗的最新信息,并提出该领域的前瞻性研究建议。