Histopathology of Gastrointestinal Stromal Tumor

被引:180
作者
Miettinen, Markku [1 ]
Lasota, Jerzy [2 ]
机构
[1] NCI, Pathol Lab, Bethesda, MD 20892 USA
[2] Armed Forces Inst Pathol, Washington, DC 20306 USA
关键词
gastrointestinal stromal tumor; KIT; PDGFRA; anoctamin; 1; succinate dehydrogenase subunit B; TERM-FOLLOW-UP; OF-THE-LITERATURE; KINASE-C-THETA; CARNEY TRIAD; INTERSTITIAL-CELLS; PDGFRA MUTATIONS; MOUSE MODEL; INTRAMURAL LEIOMYOMAS; TYROSINE KINASE; GASTRIC TUMORS;
D O I
10.1002/jso.21945
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Gastrointestinal stromal tumor (GIST), generally driven by oncogenic KIT or PDGFRA mutations, is the most common mesenchymal tumor of the gastrointestinal (GI) tract. GIST is most common in the stomach (60%) and small intestine (30%), but can occur anywhere in the GI-tract and the intra-abdominal soft tissues. GIST can show spindle cell or epithelioid morphology, and mitotic count and tumor size are most important prognostic parameters. GISTs in NF1 patients and children are distinctive clinicopathologic groups. Immunohistochemical testing for KIT and sometimes for DOG1/Ano 1 is essential in confirming the diagnosis. J. Surg. Oncol. 2011;104:865-873. (C) 2011 Wiley Periodicals, Inc.
引用
收藏
页码:865 / 873
页数:9
相关论文
共 65 条
[1]   Seedling mesenchymal tumors (Gastrointestinal stromal tumors and leiomyomas) are common incidental tumors of the esophagogastric junction [J].
Abraham, Susan C. ;
Krasinskas, Alyssa M. ;
Hofstetter, Wayne L. ;
Swisher, Stenhen G. ;
Wu, Tsung-Teh .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2007, 31 (11) :1629-1635
[2]   Microscopic gastrointestinal stromal tumors in Esophageal and intestinal surgical resection specimens -: A clinicopothologic, immunohistochemical, and molecular study of 19 lesions [J].
Agaimy, Abbas ;
Wuensch, Peter H. ;
Dirnhqfer, Stephan ;
Bihl, Michel P. ;
Terracciano, Luigi M. ;
Tornillo, Luigi .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2008, 32A (06) :867-873
[3]   Minute gastric sclerosing stromal tumors (GIST tumorlets) are common in adults and frequently show c-KIT mutations [J].
Agaimy, Abbas ;
Wuensch, Peter H. ;
Hofstaedter, Ferdinand ;
Blaszyk, Hagen ;
Ruemmele, Petra ;
Gaumann, Andreas ;
Dietmaier, Wolfgang ;
Hartmann, Arndt .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2007, 31 (01) :113-120
[4]   Gastrointestinal stromal tumours:: a regular origin in the muscularis propria, but an extremely diverse gross presentation -: A review of 200 cases to critically re-evaluate the concept of so-called extra-gastrointestinal stromal tumours [J].
Agaimy, Abbas ;
Wuensch, Peter H. .
LANGENBECKS ARCHIVES OF SURGERY, 2006, 391 (04) :322-329
[5]   Inherited Predisposition to Gastrointestinal Stromal Tumor [J].
Agarwal, Rinki ;
Robson, Mark .
HEMATOLOGY-ONCOLOGY CLINICS OF NORTH AMERICA, 2009, 23 (01) :1-+
[6]   NF1-associated gastrointestinal stromal tumors have unique clinical, phenotypic and genotypic characteristics [J].
Andersson, J ;
Sihto, H ;
Meis-Kindblom, JM ;
Joensuu, H ;
Nupponen, N ;
Kindblom, LG .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2005, 29 (09) :1170-1176
[7]  
Antonescu CR, 2003, CLIN CANCER RES, V9, P3329
[8]   Perspective on Updated Treatment Guidelines for Patients With Gastrointestinal Stromal Tumors [J].
Blay, Jean-Yves ;
von Mehren, Margaret ;
Blackstein, Martin E. .
CANCER, 2010, 116 (22) :5126-5137
[9]   Protein kinase C θ is highly expressed in gastrointestinal stromal tumors but not in other mesenchymal neoplasias [J].
Blay, P ;
Astudillo, A ;
Buesa, JM ;
Campo, E ;
Abad, M ;
García-García, J ;
Miquel, R ;
Marco, V ;
Sierra, M ;
Losa, R ;
Lacave, A ;
Braña, A ;
Balbín, M ;
Freije, JMP .
CLINICAL CANCER RESEARCH, 2004, 10 (12) :4089-4095
[10]   Novel c-KIT germline mutation in a family with gastrointestinal stromal tumors and cutaneous hyperpigmentation [J].
Carballo, M ;
Roig, I ;
Aguilar, F ;
Pol, MA ;
Gamundi, MJ ;
Hernan, I ;
Martinez-Gimeno, M .
AMERICAN JOURNAL OF MEDICAL GENETICS PART A, 2005, 132A (04) :361-364