Gastrointestinal Stromal Tumor: New Insights for a Multimodal Approach.

Gastrointestinal Stromal Tumor: New Insights for a Multimodal Approach.
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DOI:
10.1016/j.soc.2022.03.007
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发表时间:
2022-07
影响因子:
1.9
通讯作者:
Sicklick, Jason K.
Sicklick, Jason K.
中科院分区:
医学4区
文献类型:
--
作者:
Sharma, Ashwyn K.;Kim, Teresa S.;Bauer, Sebastian;Sicklick, Jason K.

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Gastrointestinal stromal tumor (GIST), although rare, with an incidence of approximately 7 to 19 cases per million annually around the world, is the most common sarcoma of the gastrointestinal (GI) tract. 1, 2 These tumors are hypothesized to arise from the interstitial cells of Cajal (ICCs), or the pacemaker cells of the GI tract. Although these tumors can occur anywhere throughout the gut, they are most often found in the stomach (55%) and small intestine (30%). A minority of these tumors are found in the colon, rectum, and esophagus, as well as even outside the GI tract (ie, extraintestinal). The clinical presentation is often nonspecific, and symptoms can include abdominal pain, nausea, vomiting, increasing abdominal girth, loss of appetite, early satiety, acute bleeding, or chronic anemia.GIST is characteristically known for oncogenic gain-of-function mutations in the KIT or PDGFRA genes, as well as other drivers, including alterations in SDHx subunits, NF1, BRAF, FGFR1, and ETV6-NTRK3 fusions. As a result of the identification of genomic alterations in KIT in the late 1990s, GIST has become the paradigm for precision oncology
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