Wardelmann Eva, Kuntze Anna, Voloshin Artem, Elges Sandra, Trautmann Marcel, Hartmann Wolfgang
Gerhard-Domagk-Institut für Pathologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland.
Pathologie (Heidelb). 2024 May;45(3):223-232. doi: 10.1007/s00292-024-01318-5. Epub 2024 Apr 8.
For more than 20 years gastrointestinal stromal tumors (GIST) have been a paradigm for a targeted treatment with tyrosine kinase inhibitors. A fundamental prerequisite for a neoadjuvant or adjuvant treatment of localized GIST or an additive treatment of metastatic GIST is the molecular typing of tumors, ideally at the initial diagnosis. In addition, the possibility of a hereditary or syndromic predisposition must be considered because this results in consequences for the treatment and a different follow-up strategy.
二十多年来,胃肠道间质瘤(GIST)一直是酪氨酸激酶抑制剂靶向治疗的典范。对局限性GIST进行新辅助或辅助治疗,或对转移性GIST进行附加治疗的一个基本前提是对肿瘤进行分子分型,最好在初次诊断时进行。此外,必须考虑遗传性或综合征性易感性的可能性,因为这会对治疗产生影响,并导致不同的随访策略。