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Published in: Journal of Gastrointestinal Surgery 6/2007

01-06-2007

A Review of Resistance Patterns and Phenotypic Changes in Gastrointestinal Stromal Tumors Following Imatinib Mesylate Therapy

Authors: Kai Bickenbach, Rebecca Wilcox, Jula Veerapong, Hedy Lee Kindler, Mitchell C. Posner, Amy Noffsinger, Kevin King Roggin

Published in: Journal of Gastrointestinal Surgery | Issue 6/2007

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Abstract

Gastrointestinal stromal tumors are neoplastic lesions that arise from the interstitial cells of Cajal and are associated with somatic mutations in the tyrosine kinase receptor, KIT. The only known curative therapy is complete surgical resection. Unfortunately, postsurgical recurrence rates exceed 50% and most tumors are resistant to standard chemotherapy and radiation. Imatinib mesylate, a novel tyrosine kinase inhibitor, holds promise as a potential adjuvant therapy to prevent recurrence and improve long-term survival. However, as resistance data emerge, it appears that a potential “escape pathway” may originate from secondary mutations in the KIT receptor. This paper reviews the historical clinical experience with imatinib mesylate and discusses resistance patterns following targeted therapy. We highlight this review with an interesting case report that illustrates unique phenotypic tumoral changes associated with imatinib mesylate resistance.
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Metadata
Title
A Review of Resistance Patterns and Phenotypic Changes in Gastrointestinal Stromal Tumors Following Imatinib Mesylate Therapy
Authors
Kai Bickenbach
Rebecca Wilcox
Jula Veerapong
Hedy Lee Kindler
Mitchell C. Posner
Amy Noffsinger
Kevin King Roggin
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 6/2007
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-007-0150-y

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