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KMID : 0880420170180010084
Korean Journal of Radiology
2017 Volume.18 No. 1 p.84 ~ p.93
Update on Gastrointestinal Stromal Tumors for Radiologists
Tirumani Sree Harsha

Baheti Akshay D.
Tirumani Harika
O¡¯Neill Ailbhe
Abstract
The management of gastrointestinal stromal tumors (GISTs) has evolved significantly in the last two decades due to better understanding of their biologic behavior as well as development of molecular targeted therapies. GISTs with exon 11 mutation respond to imatinib whereas GISTs with exon 9 or succinate dehydrogenase subunit mutations do not. Risk stratification models have enabled stratifying GISTs according to risk of recurrence and choosing patients who may benefit from adjuvant therapy. Assessing response to targeted therapies in GIST using conventional response criteria has several potential pitfalls leading to search for alternate response criteria based on changes in tumor attenuation, volume, metabolic and functional parameters. Surveillance of patients with GIST in the adjuvant setting is important for timely detection of recurrences.
KEYWORD
Gastrointestinal stromal tumor, Imatinib, Risk stratification, Choi criteria
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