[1]张宇,杨楠.胃肠道间质瘤临床诊疗及预后因素的研究[J].医学信息,2020,33(08):58-60.[doi:10.3969/j.issn.1006-1959.2020.08.019]
 ZHANG Yu,YANG Nan.The Treatment and Prognostic of Gastrointestinal Stromal Tumors[J].Medical Information,2020,33(08):58-60.[doi:10.3969/j.issn.1006-1959.2020.08.019]
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胃肠道间质瘤临床诊疗及预后因素的研究()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年08期
页码:
58-60
栏目:
综述
出版日期:
2020-04-15

文章信息/Info

Title:
The Treatment and Prognostic of Gastrointestinal Stromal Tumors
文章编号:
1006-1959(2020)08-0058-03
作者:
张宇杨楠
(赤峰市医院,内蒙古 赤峰 024000)
Author(s):
ZHANG YuYANG Nan
(Chifeng Municipal Hospital,Inner Mongolia,Chifeng 024000,China)
关键词:
胃肠道间质瘤生物学行为预后
Keywords:
Gastrointestinal stromal tumorBiological behaviorPrognosis
分类号:
R735
DOI:
10.3969/j.issn.1006-1959.2020.08.019
文献标志码:
A
摘要:
胃肠道间质瘤(GIST)是常见的消化道间叶源性肿瘤,由未分化或多潜能分化的梭形或上皮样细胞构成,其发病隐匿,临床特征缺乏特异性。目前,GIST的诊断依赖于特定的组织学表现以及免疫组化结果,其对放化疗均不敏感,治疗仍以手术切除为主。近年来,GIST的临床诊治取得较大进展,但仍存在早期诊断不易、转移性GIST治疗困难、伊马替尼耐药后难以进一步治疗、生物学行为难以预测、预后难以判断等问题。本文就GIST诊断、治疗及预后作一综述,以期为临床治疗GIST提供参考。
Abstract:
Gastrointestinal stromal tumor (GIST) is a common alimentary tract mesenchymal tumor, which is composed of undifferentiated or multipotential fusiform or epithelioid cells, and the incidence hidden, the clinical manifestations are lack of specificity. The diagnosis of GIST depends on the specific histology and immunohistochemical results, it is not sensitive to radiotherapy and chemotherapy, and surgical resection is still the main treatment. In recent years, great achievements have been made in the study of GIST, but there are still some problems, such as the difficulty in early diagnosis of GIST, the difficulty in treatment of metastatic GIST, the difficulty in further treatment after imatinib resistance, the difficulty in predicting biological behavior, the difficulty in judging prognosis and the incomplete unity of the definition of benign and malignant. This article will review the current situation of diagnosis, treatment and prognosis of GIST in order to provide some guidance for clinical practice in the future.

参考文献/References:

[1]陈浩.胃肠道间质瘤的CT表现及其临床病理研究[J].影响研究与医学应用,2019,3(23):134-135.[2]马少军,刘延梅,梁晓燕,等.胃间质瘤的CT表现及生物学评价相关性分析[J].临床消化病杂志,2017,29(1):22-26.[3]Sekine M,Imaoka H,Mizuno N,et al.Clinical course of gastrointestinal stromal tumor diagnosed by endoscopic ultrasound-guided fine-needle aspiration[J].Dig Endosc,2015,27(1):44-52.[4]Johanna W,Anne B,Martin T,et al.Frequency,Localization,and Types of Gastrointestinal Stromal Tumor-Associated Neoplasia[J].World J Gastroentrol,2019,25(30):4261-4277.[5]王坚,喻林,刘绮颖.胃肠间质瘤病理诊断和分子检测[J].中国实用外科杂志,2015(4):369-374.[6]2017年中国胃肠道间质瘤病理共识意见专家组.中国胃肠道间质瘤诊断治疗专家共识(2017年版)病理解读[J].中华病理学杂志,2018,47(1):2-6.[7]Guerin A,Sasane M,Keir SH,et al.Physician Underestimation of the Risk of Gastrointestinal Stromal Tumor Recurrence After Resection Observational Study[J].JAMA Oncol,2015,1(6):797-805.[8]Mir O,Cropet C,Toulmonde M,et al.Pazopanib Plus Best Supportive Care Versus Best Supportive Care Alone in Advanced Gastrointestinal Stromal Tumours Resistant to Imatinib and Sunitinib (PAZOGIST):A Randomised,Multicentre,Open-Label Phase 2 Trial[J].Lancet Oncol,2016,17(5):632-641.[9]Demetri GD,Benjamin RS,Blanke CD,et al.NCCN Task Force report: management of patients with gastrointestinal stromal tumor (GIST)--update of the NCCN clinical practice guidelines[J].J Natl Compr Canc Netw,2007,5(Suppl 2):S1-S29.[10]Duman K,Harlak A.Independent Prognostic Factors and Unsettled Parameters of Resected Primary Gastrointestinal Stromal Tumors[J].Surgery,2016,159(6):1696-1697.[11]Yang DY,Wang X,Yuan WJ,et al.Metastatic Pattern and Prognosis of Gastrointestinal Stromal Tumor (GIST):A SEER-based Analysis[J].Clin Transl Oncol,2019,21(12):1654-1662.[12]Feng F,Feng B,Liu SS,et al.Clinicopathological Features and Prognosis of Mesenteric Gastrointestinal Stromal Tumor:Evaluation of a Pooled Case Series[J].Oncotarget,2017,8(28):46514-46522.[13]Bischof DA,Kim Y,Dodson R,et al.Conditional Disease-Free Survival After Surgical Resection of Gastrointestinal Stromal Tumors:A Multi-Institutional Analysis of 502 Patients[J].JAMA Surg,2015,150(4):299-306.[14]Miettinen M,Sobin LH,Lasota J.Gastrointestinal stromal tumors of the stomach:a clinicopathologic,immunohistochemical,and molecular genetic study of 1765 cases with long-term follow-up[J].Am J Surg Pathol,2005,29(1):52-68.[15]Liu XC,Qiu HB,Zhang P,et al.Prognostic Role of Tumor Necrosis in Patients Undergoing Curative Resection for Gastric Gastrointestinal Stromal Tumor:A Multicenter Analysis of 740 Cases in China[J].Cancer Med,2017,6(12):2796-2803.[16]Demetri GD,von Mehren M,Antonescu CR,et al.NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors[J].J Natl Compr Canc Netw,2010,8(Suppl 2):S1-S41.[17]Imamura M,Yamamoto H,Nakamura N,et al.Prognostic significance of angiogenesis in gastrointestinal stromal tumor[J].Mod Pathol,2007,20(5):529-537.[18]Wong NA,Young R,Malcomson RD,et al.Prognostic indicators for gastrointestinal stromal tumours:a clinicopathological and immunohistochemical study of 108 resected cases of the stomach[J].Histopathology,2003,43(2):118-126.[19]Li K,Cheng HB,Li Z,et al.Genetic Progression in Gastrointestinal Stromal Tumors:Mechanisms and Molecular Interventions[J].Oncotarget,2017,8(36):60589-60604.[20]Miettinen M,Lasota J.Gastrointestinal stromal tumors--definition,clinical,histological,immunohistochemical,and molecular genetic features and differential diagnosis[J].Virchows Arch,2001,438(1):1-12.[21]Baskin Y,Kocal GC,Kucukzeybek BB,et al.PDGFRA and KIT Mutation Status and Its Association With Clinicopathological Properties,Including DOG1[J].Oncol Res,2016,24(1):41-53.[22]Gill AJ.Succinate dehydrogenase (SDH) and mitochondrial driven neoplasia[J].Pathology,2012,44(4):285-292.[23]Li HL,Ren G,Cai R et al.A Correlation Research of Ki67 Index,CT Features,and Risk Stratification in Gastrointestinal Stromal Tumor[J].Cancer Med,2018,7(9):4467-4474.[24]Demir L,Ekinci N,Erten C,et al.Does immunohistochemistry provide additional prognostic data in gastrointestinal stromal tumors?[J].Asian Pac J Cancer Prev,2013,14(8):4751-4758.[25]Passoglu E,Dursun N,Ozyalvacli G,et al.Comparison of World Health Organization 2000/2004 and World Health Organization 2010 Classifications for Gastrointestinal and Pancreatic Neuroendocrine Tumors[J].Ann Diagn Pathol,2015,19(2):81-87.[26]Zhao WY,Xu J,Wang M,et al.Prognostic value of Ki67 index in gastrointestinal stromal tumors[J].Int J Clin Exp Pathol,2014,7(5):2298-2304.

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更新日期/Last Update: 2020-04-15