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Gastric Malignant Gastrointestinal Stromal Tumor

MedGen UID:
474054
•Concept ID:
C3272421
•
Neoplastic Process
Synonym: Malignant Gastric Gastrointestinal Stromal Tumor

Definition

A gastrointestinal stromal tumor arising from the stomach. It is characterized by large size (diameter greater than 10 cm) or more than 5 mitotic figures per 50 high power fields. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVGastric Malignant Gastrointestinal Stromal Tumor

Professional guidelines

PubMed

ACG Clinical Guideline: Diagnosis and Management of Gastrointestinal Subepithelial Lesions.
Jacobson BC, Bhatt A, Greer KB, Lee LS, Park WG, Sauer BG, Shami VM
Am J Gastroenterol 2023 Jan 1;118(1):46-58. Epub 2022 Sep 6 doi: 10.14309/ajg.0000000000002100. PMID: 36602835
Endoscopic management of subepithelial lesions including neuroendocrine neoplasms: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
Deprez PH, Moons LMG, OʼToole D, Gincul R, Seicean A, Pimentel-Nunes P, Fernández-Esparrach G, Polkowski M, Vieth M, Borbath I, Moreels TG, Nieveen van Dijkum E, Blay JY, van Hooft JE
Endoscopy 2022 Apr;54(4):412-429. Epub 2022 Feb 18 doi: 10.1055/a-1751-5742. PMID: 35180797
Current clinical management of gastrointestinal stromal tumor.
Akahoshi K, Oya M, Koga T, Shiratsuchi Y
World J Gastroenterol 2018 Jul 14;24(26):2806-2817. doi: 10.3748/wjg.v24.i26.2806. PMID: 30018476Free PMC Article

Recent clinical studies

Etiology

ACG Clinical Guideline: Diagnosis and Management of Gastrointestinal Subepithelial Lesions.
Jacobson BC, Bhatt A, Greer KB, Lee LS, Park WG, Sauer BG, Shami VM
Am J Gastroenterol 2023 Jan 1;118(1):46-58. Epub 2022 Sep 6 doi: 10.14309/ajg.0000000000002100. PMID: 36602835
Gastrointestinal stromal tumours.
Blay JY, Kang YK, Nishida T, von Mehren M
Nat Rev Dis Primers 2021 Mar 18;7(1):22. doi: 10.1038/s41572-021-00254-5. PMID: 33737510
Gastric Calcifying Fibrous Tumor: An Easy Misdiagnosis as Gastrointestinal Stromal Tumor-A Systemic Review.
Tsai MK, Chen HY, Chuang ML, Chen CW, Jong GP
Medicina (Kaunas) 2020 Oct 14;56(10) doi: 10.3390/medicina56100541. PMID: 33066662Free PMC Article
Risk stratification of patients diagnosed with gastrointestinal stromal tumor.
Joensuu H
Hum Pathol 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PMID: 18774375
Gastrointestinal stromal tumors: pathology and prognosis at different sites.
Miettinen M, Lasota J
Semin Diagn Pathol 2006 May;23(2):70-83. doi: 10.1053/j.semdp.2006.09.001. PMID: 17193820

Diagnosis

ACG Clinical Guideline: Diagnosis and Management of Gastrointestinal Subepithelial Lesions.
Jacobson BC, Bhatt A, Greer KB, Lee LS, Park WG, Sauer BG, Shami VM
Am J Gastroenterol 2023 Jan 1;118(1):46-58. Epub 2022 Sep 6 doi: 10.14309/ajg.0000000000002100. PMID: 36602835
Gastric Calcifying Fibrous Tumor: An Easy Misdiagnosis as Gastrointestinal Stromal Tumor-A Systemic Review.
Tsai MK, Chen HY, Chuang ML, Chen CW, Jong GP
Medicina (Kaunas) 2020 Oct 14;56(10) doi: 10.3390/medicina56100541. PMID: 33066662Free PMC Article
Current clinical management of gastrointestinal stromal tumor.
Akahoshi K, Oya M, Koga T, Shiratsuchi Y
World J Gastroenterol 2018 Jul 14;24(26):2806-2817. doi: 10.3748/wjg.v24.i26.2806. PMID: 30018476Free PMC Article
Risk stratification of patients diagnosed with gastrointestinal stromal tumor.
Joensuu H
Hum Pathol 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PMID: 18774375
Gastrointestinal stromal tumors: review on morphology, molecular pathology, prognosis, and differential diagnosis.
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Therapy

Current status of and future prospects for the treatment of unresectable or metastatic gastrointestinal stromal tumours.
Naito Y, Nishida T, Doi T
Gastric Cancer 2023 May;26(3):339-351. Epub 2023 Mar 13 doi: 10.1007/s10120-023-01381-6. PMID: 36913072Free PMC Article
Gastrointestinal stromal tumours.
Blay JY, Kang YK, Nishida T, von Mehren M
Nat Rev Dis Primers 2021 Mar 18;7(1):22. doi: 10.1038/s41572-021-00254-5. PMID: 33737510
Current clinical management of gastrointestinal stromal tumor.
Akahoshi K, Oya M, Koga T, Shiratsuchi Y
World J Gastroenterol 2018 Jul 14;24(26):2806-2817. doi: 10.3748/wjg.v24.i26.2806. PMID: 30018476Free PMC Article
Combination of arginine, glutamine, and omega-3 fatty acid supplements for perioperative enteral nutrition in surgical patients with gastric adenocarcinoma or gastrointestinal stromal tumor (GIST): A prospective, randomized, double-blind study.
Ma C, Tsai H, Su W, Sun L, Shih Y, Wang J
J Postgrad Med 2018 Jul-Sep;64(3):155-163. doi: 10.4103/jpgm.JPGM_693_17. PMID: 29848836Free PMC Article
Clinical and genomic landscape of gastric cancer with a mesenchymal phenotype.
Oh SC, Sohn BH, Cheong JH, Kim SB, Lee JE, Park KC, Lee SH, Park JL, Park YY, Lee HS, Jang HJ, Park ES, Kim SC, Heo J, Chu IS, Jang YJ, Mok YJ, Jung W, Kim BH, Kim A, Cho JY, Lim JY, Hayashi Y, Song S, Elimova E, Estralla JS, Lee JH, Bhutani MS, Lu Y, Liu W, Lee J, Kang WK, Kim S, Noh SH, Mills GB, Kim SY, Ajani JA, Lee JS
Nat Commun 2018 May 3;9(1):1777. doi: 10.1038/s41467-018-04179-8. PMID: 29725014Free PMC Article

Prognosis

Current clinical management of gastrointestinal stromal tumor.
Akahoshi K, Oya M, Koga T, Shiratsuchi Y
World J Gastroenterol 2018 Jul 14;24(26):2806-2817. doi: 10.3748/wjg.v24.i26.2806. PMID: 30018476Free PMC Article
Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies.
Søreide K, Sandvik OM, Søreide JA, Giljaca V, Jureckova A, Bulusu VR
Cancer Epidemiol 2016 Feb;40:39-46. Epub 2015 Nov 24 doi: 10.1016/j.canep.2015.10.031. PMID: 26618334
Risk stratification of patients diagnosed with gastrointestinal stromal tumor.
Joensuu H
Hum Pathol 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PMID: 18774375
Gastrointestinal stromal tumors: pathology and prognosis at different sites.
Miettinen M, Lasota J
Semin Diagn Pathol 2006 May;23(2):70-83. doi: 10.1053/j.semdp.2006.09.001. PMID: 17193820
Gastrointestinal stromal tumors: review on morphology, molecular pathology, prognosis, and differential diagnosis.
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Clinical prediction guides

Gastrointestinal stromal tumors: a comprehensive radiological review.
Inoue A, Ota S, Yamasaki M, Batsaikhan B, Furukawa A, Watanabe Y
Jpn J Radiol 2022 Nov;40(11):1105-1120. Epub 2022 Jul 9 doi: 10.1007/s11604-022-01305-x. PMID: 35809209Free PMC Article
Clinical and genomic landscape of gastric cancer with a mesenchymal phenotype.
Oh SC, Sohn BH, Cheong JH, Kim SB, Lee JE, Park KC, Lee SH, Park JL, Park YY, Lee HS, Jang HJ, Park ES, Kim SC, Heo J, Chu IS, Jang YJ, Mok YJ, Jung W, Kim BH, Kim A, Cho JY, Lim JY, Hayashi Y, Song S, Elimova E, Estralla JS, Lee JH, Bhutani MS, Lu Y, Liu W, Lee J, Kang WK, Kim S, Noh SH, Mills GB, Kim SY, Ajani JA, Lee JS
Nat Commun 2018 May 3;9(1):1777. doi: 10.1038/s41467-018-04179-8. PMID: 29725014Free PMC Article
PDGFRA-mutant syndrome.
Ricci R, Martini M, Cenci T, Carbone A, Lanza P, Biondi A, Rindi G, Cassano A, Larghi A, Persiani R, Larocca LM
Mod Pathol 2015 Jul;28(7):954-64. Epub 2015 May 15 doi: 10.1038/modpathol.2015.56. PMID: 25975287
Risk of recurrence of gastrointestinal stromal tumour after surgery: an analysis of pooled population-based cohorts.
Joensuu H, Vehtari A, Riihimäki J, Nishida T, Steigen SE, Brabec P, Plank L, Nilsson B, Cirilli C, Braconi C, Bordoni A, Magnusson MK, Linke Z, Sufliarsky J, Federico M, Jonasson JG, Dei Tos AP, Rutkowski P
Lancet Oncol 2012 Mar;13(3):265-74. Epub 2011 Dec 6 doi: 10.1016/S1470-2045(11)70299-6. PMID: 22153892
Gastrointestinal stromal tumors: review on morphology, molecular pathology, prognosis, and differential diagnosis.
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Recent systematic reviews

Gastric Calcifying Fibrous Tumor: An Easy Misdiagnosis as Gastrointestinal Stromal Tumor-A Systemic Review.
Tsai MK, Chen HY, Chuang ML, Chen CW, Jong GP
Medicina (Kaunas) 2020 Oct 14;56(10) doi: 10.3390/medicina56100541. PMID: 33066662Free PMC Article
Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.
Fernández JA, Frutos MD, Ruiz-Manzanera JJ
Obes Surg 2020 Nov;30(11):4529-4541. Epub 2020 Jul 24 doi: 10.1007/s11695-020-04853-1. PMID: 32710370
Imaging pediatric gastrointestinal stromal tumor (GIST).
Herzberg M, Beer M, Anupindi S, Vollert K, Kröncke T
J Pediatr Surg 2018 Sep;53(9):1862-1870. Epub 2018 Mar 29 doi: 10.1016/j.jpedsurg.2018.03.022. PMID: 29685489
Effectiveness and safety of endoscopic resection for gastric GISTs: a systematic review.
Zhang Q, Gao LQ, Han ZL, Li XF, Wang LH, Liu SD
Minim Invasive Ther Allied Technol 2018 Jun;27(3):127-137. Epub 2017 Jul 6 doi: 10.1080/13645706.2017.1347097. PMID: 28681655
Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies.
Søreide K, Sandvik OM, Søreide JA, Giljaca V, Jureckova A, Bulusu VR
Cancer Epidemiol 2016 Feb;40:39-46. Epub 2015 Nov 24 doi: 10.1016/j.canep.2015.10.031. PMID: 26618334

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