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Published in: Experimental Hematology & Oncology 1/2012

Open Access 01-12-2012 | Review

Current management and prognostic features for gastrointestinal stromal tumor (GIST)

Authors: Gurpreet Lamba, Ridhi Gupta, Byung Lee, Samir Ambrale, Delong Liu

Published in: Experimental Hematology & Oncology | Issue 1/2012

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Abstract

Stromal or mesenchymal neoplasms affecting the gastrointestinal (GI) tract have undergone a remarkable evolution in how they are perceived, classified, approached, diagnosed and managed over the last 30 years. Gastrointestinal stromal tumors (GIST) account for approximately 1% to 3% of all malignant GI tumors. The clinical features can vary depending on the anatomic location, size and aggressiveness of the tumor. Metastatic GIST represents a successful example of molecular targeted therapy. In this comprehensive review, we discuss the epidemiology, clinical features and diagnostic modalities for GIST. We also describe treatment options for early stage, locally advanced and metastatic GIST. Indications for neoadjuvant and adjuvant therapy along with duration of therapy are also explained. A brief discussion of latest biomarkers and updates from recent meetings is also provided.
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Literature
1.
go back to reference Lamba G, et al.: Recent advances and novel agents for gastrointestinal stromal tumor (GIST). J. Hematol & Oncol 2012, 5: 21. 10.1186/1756-8722-5-21CrossRef Lamba G, et al.: Recent advances and novel agents for gastrointestinal stromal tumor (GIST). J. Hematol & Oncol 2012, 5: 21. 10.1186/1756-8722-5-21CrossRef
2.
go back to reference Rubin BP, Fletcher JA, Fletcher CD: Molecular Insights into the Histogenesis and Pathogenesis of Gastrointestinal Stromal Tumors. Int J Surg Pathol 2000,8(1):5–10. 10.1177/106689690000800105PubMedCrossRef Rubin BP, Fletcher JA, Fletcher CD: Molecular Insights into the Histogenesis and Pathogenesis of Gastrointestinal Stromal Tumors. Int J Surg Pathol 2000,8(1):5–10. 10.1177/106689690000800105PubMedCrossRef
3.
go back to reference Cassier PA, et al.: A prospective epidemiological study of new incident GISTs during two consecutive years in Rhone Alpes region: incidence and molecular distribution of GIST in a European region. Br J Cancer 2010,103(2):165–170. 10.1038/sj.bjc.6605743PubMedCentralPubMedCrossRef Cassier PA, et al.: A prospective epidemiological study of new incident GISTs during two consecutive years in Rhone Alpes region: incidence and molecular distribution of GIST in a European region. Br J Cancer 2010,103(2):165–170. 10.1038/sj.bjc.6605743PubMedCentralPubMedCrossRef
4.
go back to reference Tran T, Davila JA, El-Serag HB: The epidemiology of malignant gastrointestinal stromal tumors: an analysis of 1,458 cases from 1992 to 2000. Am J Gastroenterol 2005,100(1):162–168. 10.1111/j.1572-0241.2005.40709.xPubMedCrossRef Tran T, Davila JA, El-Serag HB: The epidemiology of malignant gastrointestinal stromal tumors: an analysis of 1,458 cases from 1992 to 2000. Am J Gastroenterol 2005,100(1):162–168. 10.1111/j.1572-0241.2005.40709.xPubMedCrossRef
5.
go back to reference Fletcher CD, et al.: Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum Pathol 2002,33(5):459–465. 10.1053/hupa.2002.123545PubMedCrossRef Fletcher CD, et al.: Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum Pathol 2002,33(5):459–465. 10.1053/hupa.2002.123545PubMedCrossRef
6.
go back to reference Miettinen M, et al.: Evaluation of malignancy and prognosis of gastrointestinal stromal tumors: a review. Hum Pathol 2002,33(5):478–483. 10.1053/hupa.2002.124123PubMedCrossRef Miettinen M, et al.: Evaluation of malignancy and prognosis of gastrointestinal stromal tumors: a review. Hum Pathol 2002,33(5):478–483. 10.1053/hupa.2002.124123PubMedCrossRef
7.
go back to reference Nilsson B, et al.: Gastrointestinal stromal tumors: the incidence, prevalence, clinical course, and prognostication in the preimatinib mesylate era–a population-based study in western Sweden. Cancer 2005,103(4):821–829. 10.1002/cncr.20862PubMedCrossRef Nilsson B, et al.: Gastrointestinal stromal tumors: the incidence, prevalence, clinical course, and prognostication in the preimatinib mesylate era–a population-based study in western Sweden. Cancer 2005,103(4):821–829. 10.1002/cncr.20862PubMedCrossRef
8.
go back to reference Tryggvason G, et al.: Gastrointestinal stromal tumors in Iceland, 1990–2003: the icelandic GIST study, a population-based incidence and pathologic risk stratification study. Int J Cancer 2005,117(2):289–293. 10.1002/ijc.21167PubMedCrossRef Tryggvason G, et al.: Gastrointestinal stromal tumors in Iceland, 1990–2003: the icelandic GIST study, a population-based incidence and pathologic risk stratification study. Int J Cancer 2005,117(2):289–293. 10.1002/ijc.21167PubMedCrossRef
9.
go back to reference Goettsch WG, et al.: Incidence of gastrointestinal stromal tumours is underestimated: results of a nation-wide study. Eur J Cancer 2005,41(18):2868–2872. 10.1016/j.ejca.2005.09.009PubMedCrossRef Goettsch WG, et al.: Incidence of gastrointestinal stromal tumours is underestimated: results of a nation-wide study. Eur J Cancer 2005,41(18):2868–2872. 10.1016/j.ejca.2005.09.009PubMedCrossRef
10.
go back to reference Tzen CY, et al.: Incidence of gastrointestinal stromal tumor: a retrospective study based on immunohistochemical and mutational analyses. Dig Dis Sci 2007,52(3):792–797. 10.1007/s10620-006-9480-yPubMedCrossRef Tzen CY, et al.: Incidence of gastrointestinal stromal tumor: a retrospective study based on immunohistochemical and mutational analyses. Dig Dis Sci 2007,52(3):792–797. 10.1007/s10620-006-9480-yPubMedCrossRef
11.
go back to reference Kawanowa K, et al.: High incidence of microscopic gastrointestinal stromal tumors in the stomach. Hum Pathol 2006,37(12):1527–1535. 10.1016/j.humpath.2006.07.002PubMedCrossRef Kawanowa K, et al.: High incidence of microscopic gastrointestinal stromal tumors in the stomach. Hum Pathol 2006,37(12):1527–1535. 10.1016/j.humpath.2006.07.002PubMedCrossRef
12.
go back to reference Agaimy A, et al.: Minute gastric sclerosing stromal tumors (GIST tumorlets) are common in adults and frequently show c-KIT mutations. Am J Surg Pathol 2007,31(1):113–120. 10.1097/01.pas.0000213307.05811.f0PubMedCrossRef Agaimy A, et al.: Minute gastric sclerosing stromal tumors (GIST tumorlets) are common in adults and frequently show c-KIT mutations. Am J Surg Pathol 2007,31(1):113–120. 10.1097/01.pas.0000213307.05811.f0PubMedCrossRef
13.
go back to reference Chou FF, Eng HL, Sheen-Chen SM: Smooth muscle tumors of the gastrointestinal tract: analysis of prognostic factors. Surgery 1996,119(2):171–177. 10.1016/S0039-6060(96)80165-6PubMedCrossRef Chou FF, Eng HL, Sheen-Chen SM: Smooth muscle tumors of the gastrointestinal tract: analysis of prognostic factors. Surgery 1996,119(2):171–177. 10.1016/S0039-6060(96)80165-6PubMedCrossRef
14.
go back to reference Pink D, et al.: Severe hypoglycemia caused by paraneoplastic production of IGF-II in patients with advanced gastrointestinal stromal tumors: a report of two cases. J Clin Oncol 2005,23(27):6809–6811. 10.1200/JCO.2005.02.4828PubMedCrossRef Pink D, et al.: Severe hypoglycemia caused by paraneoplastic production of IGF-II in patients with advanced gastrointestinal stromal tumors: a report of two cases. J Clin Oncol 2005,23(27):6809–6811. 10.1200/JCO.2005.02.4828PubMedCrossRef
15.
go back to reference DeMatteo RP: The GIST of targeted cancer therapy: a tumor (gastrointestinal stromal tumor), a mutated gene (c-kit), and a molecular inhibitor (STI571). Ann Surg Oncol 2002,9(9):831–839. 10.1007/BF02557518PubMedCrossRef DeMatteo RP: The GIST of targeted cancer therapy: a tumor (gastrointestinal stromal tumor), a mutated gene (c-kit), and a molecular inhibitor (STI571). Ann Surg Oncol 2002,9(9):831–839. 10.1007/BF02557518PubMedCrossRef
16.
go back to reference Scarpa M, et al.: A systematic review on the clinical diagnosis of gastrointestinal stromal tumors. J Surg Oncol 2008,98(5):384–392. 10.1002/jso.21120PubMedCrossRef Scarpa M, et al.: A systematic review on the clinical diagnosis of gastrointestinal stromal tumors. J Surg Oncol 2008,98(5):384–392. 10.1002/jso.21120PubMedCrossRef
17.
go back to reference Chun HJ, et al.: Gastrointestinal leiomyoma and leiomyosarcoma: CT differentiation. J Comput Assist Tomogr 1998,22(1):69–74. 10.1097/00004728-199801000-00012PubMedCrossRef Chun HJ, et al.: Gastrointestinal leiomyoma and leiomyosarcoma: CT differentiation. J Comput Assist Tomogr 1998,22(1):69–74. 10.1097/00004728-199801000-00012PubMedCrossRef
18.
go back to reference Levy AD, et al.: Gastrointestinal stromal tumors: radiologic features with pathologic correlation. Radiographics 2003,23(2):283–304. 456; quiz 532 10.1148/rg.232025146PubMedCrossRef Levy AD, et al.: Gastrointestinal stromal tumors: radiologic features with pathologic correlation. Radiographics 2003,23(2):283–304. 456; quiz 532 10.1148/rg.232025146PubMedCrossRef
19.
go back to reference Ghanem N, et al.: Computed tomography in gastrointestinal stromal tumors. Eur Radiol 2003,13(7):1669–1678. 10.1007/s00330-002-1803-6PubMedCrossRef Ghanem N, et al.: Computed tomography in gastrointestinal stromal tumors. Eur Radiol 2003,13(7):1669–1678. 10.1007/s00330-002-1803-6PubMedCrossRef
20.
go back to reference Burkill GJ, et al.: Malignant gastrointestinal stromal tumor: distribution, imaging features, and pattern of metastatic spread. Radiology 2003,226(2):527–532. 10.1148/radiol.2262011880PubMedCrossRef Burkill GJ, et al.: Malignant gastrointestinal stromal tumor: distribution, imaging features, and pattern of metastatic spread. Radiology 2003,226(2):527–532. 10.1148/radiol.2262011880PubMedCrossRef
21.
go back to reference Hatch GF, et al.: Tumors of the esophagus. World J Surg 2000,24(4):401–411. 10.1007/s002689910065PubMedCrossRef Hatch GF, et al.: Tumors of the esophagus. World J Surg 2000,24(4):401–411. 10.1007/s002689910065PubMedCrossRef
22.
go back to reference Choi H, et al.: Correlation of computed tomography and positron emission tomography in patients with metastatic gastrointestinal stromal tumor treated at a single institution with imatinib mesylate: proposal of new computed tomography response criteria. J Clin Oncol 2007,25(13):1753–1759. 10.1200/JCO.2006.07.3049PubMedCrossRef Choi H, et al.: Correlation of computed tomography and positron emission tomography in patients with metastatic gastrointestinal stromal tumor treated at a single institution with imatinib mesylate: proposal of new computed tomography response criteria. J Clin Oncol 2007,25(13):1753–1759. 10.1200/JCO.2006.07.3049PubMedCrossRef
23.
go back to reference Demetri GD, et al.: NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors. J Natl Compr Canc Netw 2010,8(Suppl 2):S1-S41. quiz S42–4PubMedCentralPubMed Demetri GD, et al.: NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors. J Natl Compr Canc Netw 2010,8(Suppl 2):S1-S41. quiz S42–4PubMedCentralPubMed
24.
go back to reference Gayed I, et al.: The role of 18 F-FDG PET in staging and early prediction of response to therapy of recurrent gastrointestinal stromal tumors. J Nucl Med 2004,45(1):17–21.PubMed Gayed I, et al.: The role of 18 F-FDG PET in staging and early prediction of response to therapy of recurrent gastrointestinal stromal tumors. J Nucl Med 2004,45(1):17–21.PubMed
25.
go back to reference Kamiyama Y, et al.: 18 F-fluorodeoxyglucose positron emission tomography: useful technique for predicting malignant potential of gastrointestinal stromal tumors. World J Surg 2005,29(11):1429–1435. 10.1007/s00268-005-0045-6PubMedCrossRef Kamiyama Y, et al.: 18 F-fluorodeoxyglucose positron emission tomography: useful technique for predicting malignant potential of gastrointestinal stromal tumors. World J Surg 2005,29(11):1429–1435. 10.1007/s00268-005-0045-6PubMedCrossRef
26.
go back to reference Demetri GD, et al.: NCCN Task Force report: management of patients with gastrointestinal stromal tumor (GIST)--update of the NCCN clinical practice guidelines. J Natl Compr Canc Netw 2007,5(Suppl 2):S1-S29. quiz S30PubMed Demetri GD, et al.: NCCN Task Force report: management of patients with gastrointestinal stromal tumor (GIST)--update of the NCCN clinical practice guidelines. J Natl Compr Canc Netw 2007,5(Suppl 2):S1-S29. quiz S30PubMed
27.
go back to reference Pidhorecky I, et al.: Gastrointestinal stromal tumors: current diagnosis, biologic behavior, and management. Ann Surg Oncol 2000,7(9):705–712. 10.1007/s10434-000-0705-6PubMedCrossRef Pidhorecky I, et al.: Gastrointestinal stromal tumors: current diagnosis, biologic behavior, and management. Ann Surg Oncol 2000,7(9):705–712. 10.1007/s10434-000-0705-6PubMedCrossRef
28.
go back to reference Tio TL, Tytgat GN, den Hartog FC: Jager, Endoscopic ultrasonography for the evaluation of smooth muscle tumors in the upper gastrointestinal tract: an experience with 42 cases. Gastrointest Endosc 1990,36(4):342–350. 10.1016/S0016-5107(90)71061-9PubMedCrossRef Tio TL, Tytgat GN, den Hartog FC: Jager, Endoscopic ultrasonography for the evaluation of smooth muscle tumors in the upper gastrointestinal tract: an experience with 42 cases. Gastrointest Endosc 1990,36(4):342–350. 10.1016/S0016-5107(90)71061-9PubMedCrossRef
29.
go back to reference Avritscher R, Gupta S: Gastrointestinal stromal tumor: role of interventional radiology in diagnosis and treatment. Hematol Oncol Clin North Am 2009,23(1):129–137. ix 10.1016/j.hoc.2008.11.002PubMedCrossRef Avritscher R, Gupta S: Gastrointestinal stromal tumor: role of interventional radiology in diagnosis and treatment. Hematol Oncol Clin North Am 2009,23(1):129–137. ix 10.1016/j.hoc.2008.11.002PubMedCrossRef
30.
go back to reference van Roggen JF Graadt, van Velthuysen ML, Hogendoorn PC: The histopathological differential diagnosis of gastrointestinal stromal tumours. J Clin Pathol 2001,54(2):96–102. 10.1136/jcp.54.2.96PubMedCentralCrossRef van Roggen JF Graadt, van Velthuysen ML, Hogendoorn PC: The histopathological differential diagnosis of gastrointestinal stromal tumours. J Clin Pathol 2001,54(2):96–102. 10.1136/jcp.54.2.96PubMedCentralCrossRef
31.
go back to reference Kindblom LG, et al.: Gastrointestinal pacemaker cell tumor (GIPACT): gastrointestinal stromal tumors show phenotypic characteristics of the interstitial cells of Cajal. Am J Pathol 1998,152(5):1259–1269.PubMedCentralPubMed Kindblom LG, et al.: Gastrointestinal pacemaker cell tumor (GIPACT): gastrointestinal stromal tumors show phenotypic characteristics of the interstitial cells of Cajal. Am J Pathol 1998,152(5):1259–1269.PubMedCentralPubMed
32.
go back to reference Hirota S, et al.: Gain-of-function mutations of c-kit in human gastrointestinal stromal tumors. Science 1998,279(5350):577–580. 10.1126/science.279.5350.577PubMedCrossRef Hirota S, et al.: Gain-of-function mutations of c-kit in human gastrointestinal stromal tumors. Science 1998,279(5350):577–580. 10.1126/science.279.5350.577PubMedCrossRef
33.
go back to reference Heinrich MC, et al.: PDGFRA activating mutations in gastrointestinal stromal tumors. Science 2003,299(5607):708–710. 10.1126/science.1079666PubMedCrossRef Heinrich MC, et al.: PDGFRA activating mutations in gastrointestinal stromal tumors. Science 2003,299(5607):708–710. 10.1126/science.1079666PubMedCrossRef
34.
go back to reference Miettinen M, Wang ZF, Lasota J: DOG1 antibody in the differential diagnosis of gastrointestinal stromal tumors: a study of 1840 cases. Am J Surg Pathol 2009,33(9):1401–1408. 10.1097/PAS.0b013e3181a90e1aPubMedCrossRef Miettinen M, Wang ZF, Lasota J: DOG1 antibody in the differential diagnosis of gastrointestinal stromal tumors: a study of 1840 cases. Am J Surg Pathol 2009,33(9):1401–1408. 10.1097/PAS.0b013e3181a90e1aPubMedCrossRef
35.
go back to reference West RB, et al.: The novel marker, DOG1, is expressed ubiquitously in gastrointestinal stromal tumors irrespective of KIT or PDGFRA mutation status. Am J Pathol 2004,165(1):107–113. 10.1016/S0002-9440(10)63279-8PubMedCentralPubMedCrossRef West RB, et al.: The novel marker, DOG1, is expressed ubiquitously in gastrointestinal stromal tumors irrespective of KIT or PDGFRA mutation status. Am J Pathol 2004,165(1):107–113. 10.1016/S0002-9440(10)63279-8PubMedCentralPubMedCrossRef
36.
go back to reference Miettinen M, Lasota J: Gastrointestinal stromal tumors: pathology and prognosis at different sites. Semin Diagn Pathol 2006,23(2):70–83. 10.1053/j.semdp.2006.09.001PubMedCrossRef Miettinen M, Lasota J: Gastrointestinal stromal tumors: pathology and prognosis at different sites. Semin Diagn Pathol 2006,23(2):70–83. 10.1053/j.semdp.2006.09.001PubMedCrossRef
37.
go back to reference Huang HY, et al.: A modification of NIH consensus criteria to better distinguish the highly lethal subset of primary localized gastrointestinal stromal tumors: a subdivision of the original high-risk group on the basis of outcome. Surgery 2007,141(6):748–756. 10.1016/j.surg.2007.01.024PubMedCrossRef Huang HY, et al.: A modification of NIH consensus criteria to better distinguish the highly lethal subset of primary localized gastrointestinal stromal tumors: a subdivision of the original high-risk group on the basis of outcome. Surgery 2007,141(6):748–756. 10.1016/j.surg.2007.01.024PubMedCrossRef
38.
go back to reference Corless CL, et al.: Relation of tumor pathologic and molecular features to outcome after surgical resection of localized primary gastrointestinal stromal tumor (GIST): Results of the intergroup phase III trial ACOSOG Z9001. ASCO Meeting Abstracts 2010,28(15_suppl):10006. Corless CL, et al.: Relation of tumor pathologic and molecular features to outcome after surgical resection of localized primary gastrointestinal stromal tumor (GIST): Results of the intergroup phase III trial ACOSOG Z9001. ASCO Meeting Abstracts 2010,28(15_suppl):10006.
39.
go back to reference Singer S, et al.: Prognostic value of KIT mutation type, mitotic activity, and histologic subtype in gastrointestinal stromal tumors. J Clin Oncol 2002,20(18):3898–3905. 10.1200/JCO.2002.03.095PubMedCrossRef Singer S, et al.: Prognostic value of KIT mutation type, mitotic activity, and histologic subtype in gastrointestinal stromal tumors. J Clin Oncol 2002,20(18):3898–3905. 10.1200/JCO.2002.03.095PubMedCrossRef
40.
go back to reference Reith JD, et al.: Extragastrointestinal (soft tissue) stromal tumors: an analysis of 48 cases with emphasis on histologic predictors of outcome. Mod Pathol 2000,13(5):577–585. 10.1038/modpathol.3880099PubMedCrossRef Reith JD, et al.: Extragastrointestinal (soft tissue) stromal tumors: an analysis of 48 cases with emphasis on histologic predictors of outcome. Mod Pathol 2000,13(5):577–585. 10.1038/modpathol.3880099PubMedCrossRef
41.
go back to reference Martin J, et al.: Deletions affecting codons 557–558 of the c-KIT gene indicate a poor prognosis in patients with completely resected gastrointestinal stromal tumors: a study by the Spanish Group for Sarcoma Research (GEIS). J Clin Oncol 2005,23(25):6190–6198. 10.1200/JCO.2005.19.554PubMedCrossRef Martin J, et al.: Deletions affecting codons 557–558 of the c-KIT gene indicate a poor prognosis in patients with completely resected gastrointestinal stromal tumors: a study by the Spanish Group for Sarcoma Research (GEIS). J Clin Oncol 2005,23(25):6190–6198. 10.1200/JCO.2005.19.554PubMedCrossRef
42.
go back to reference DeVita VT, Lawrence TS, Rosenberg SA: DeVita, Hellman, and Rosenberg's cancer : principles & practice of oncology. 9th edition. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia; 2011:2638. xlvii DeVita VT, Lawrence TS, Rosenberg SA: DeVita, Hellman, and Rosenberg's cancer : principles & practice of oncology. 9th edition. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia; 2011:2638. xlvii
43.
go back to reference Dematteo RP, et al.: Adjuvant imatinib mesylate after resection of localised, primary gastrointestinal stromal tumour: a randomised, double-blind, placebo-controlled trial. Lancet 2009,373(9669):1097–1104. 10.1016/S0140-6736(09)60500-6PubMedCentralPubMedCrossRef Dematteo RP, et al.: Adjuvant imatinib mesylate after resection of localised, primary gastrointestinal stromal tumour: a randomised, double-blind, placebo-controlled trial. Lancet 2009,373(9669):1097–1104. 10.1016/S0140-6736(09)60500-6PubMedCentralPubMedCrossRef
44.
go back to reference Blackstein ME, et al.: Risk assessment for tumor recurrence after surgical resection of localized primary gastrointestinal stromal tumor (GIST): North American Intergroup phase III trial ACOSOG Z9001. ASCO GI Cancer Symposium 2010,28(suppl 4):6. Blackstein ME, et al.: Risk assessment for tumor recurrence after surgical resection of localized primary gastrointestinal stromal tumor (GIST): North American Intergroup phase III trial ACOSOG Z9001. ASCO GI Cancer Symposium 2010,28(suppl 4):6.
45.
go back to reference Blanke CD, et al.: Long-term results from a randomized phase II trial of standard- versus higher-dose imatinib mesylate for patients with unresectable or metastatic gastrointestinal stromal tumors expressing KIT. J Clin Oncol 2008,26(4):620–625. 10.1200/JCO.2007.13.4403PubMedCrossRef Blanke CD, et al.: Long-term results from a randomized phase II trial of standard- versus higher-dose imatinib mesylate for patients with unresectable or metastatic gastrointestinal stromal tumors expressing KIT. J Clin Oncol 2008,26(4):620–625. 10.1200/JCO.2007.13.4403PubMedCrossRef
46.
go back to reference Dematteo RP, et al.: Tumor mitotic rate, size, and location independently predict recurrence after resection of primary gastrointestinal stromal tumor (GIST). Cancer 2008,112(3):608–615. 10.1002/cncr.23199PubMedCrossRef Dematteo RP, et al.: Tumor mitotic rate, size, and location independently predict recurrence after resection of primary gastrointestinal stromal tumor (GIST). Cancer 2008,112(3):608–615. 10.1002/cncr.23199PubMedCrossRef
47.
go back to reference Kang B, et al.: A phase II study of imatinib mesylate as adjuvant treatment for curatively resected high-risk localized gastrointestinal stromal tumors. ASCO Meeting Abstracts 2009,27(15S):e21515. Kang B, et al.: A phase II study of imatinib mesylate as adjuvant treatment for curatively resected high-risk localized gastrointestinal stromal tumors. ASCO Meeting Abstracts 2009,27(15S):e21515.
48.
go back to reference Joensuu H, et al.: One vs three years of adjuvant imatinib for operable gastrointestinal stromal tumor: a randomized trial. JAMA 2012,307(12):1265–1272. 10.1001/jama.2012.347PubMedCrossRef Joensuu H, et al.: One vs three years of adjuvant imatinib for operable gastrointestinal stromal tumor: a randomized trial. JAMA 2012,307(12):1265–1272. 10.1001/jama.2012.347PubMedCrossRef
49.
go back to reference Sanon M, et al.: Cost-effectiveness of three years of adjuvant imatinib in gastrointestinal stromal tumors (GIST). ASCO Meeting Abstracts 2012,30(4_suppl):137. Sanon M, et al.: Cost-effectiveness of three years of adjuvant imatinib in gastrointestinal stromal tumors (GIST). ASCO Meeting Abstracts 2012,30(4_suppl):137.
50.
go back to reference Deflin M, et al.: Comparison of the clinical benefit of an adjuvant therapy in gastrointestinal stromal tumors (GIST) with other adjuvant cancer therapies. ASCO Meeting Abstracts 2012,30(4_suppl):129. Deflin M, et al.: Comparison of the clinical benefit of an adjuvant therapy in gastrointestinal stromal tumors (GIST) with other adjuvant cancer therapies. ASCO Meeting Abstracts 2012,30(4_suppl):129.
51.
go back to reference Lang I, et al.: Case 3. Resection of originally inoperable liver metastases of gastrointestinal stromal tumor after imatinib mesylate therapy. J Clin Oncol 2003,21(18):3538–3540. 10.1200/JCO.2003.03.176PubMedCrossRef Lang I, et al.: Case 3. Resection of originally inoperable liver metastases of gastrointestinal stromal tumor after imatinib mesylate therapy. J Clin Oncol 2003,21(18):3538–3540. 10.1200/JCO.2003.03.176PubMedCrossRef
52.
go back to reference Andtbacka RH, et al.: Surgical resection of gastrointestinal stromal tumors after treatment with imatinib. Ann Surg Oncol 2007,14(1):14–24.PubMedCrossRef Andtbacka RH, et al.: Surgical resection of gastrointestinal stromal tumors after treatment with imatinib. Ann Surg Oncol 2007,14(1):14–24.PubMedCrossRef
53.
go back to reference Katz D, et al.: Neoadjuvant imatinib for unresectable gastrointestinal stromal tumor. Anticancer Drugs 2004,15(6):599–602. 10.1097/01.cad.0000132236.38297.a7PubMedCrossRef Katz D, et al.: Neoadjuvant imatinib for unresectable gastrointestinal stromal tumor. Anticancer Drugs 2004,15(6):599–602. 10.1097/01.cad.0000132236.38297.a7PubMedCrossRef
54.
go back to reference Bonvalot S, et al.: Impact of surgery on advanced gastrointestinal stromal tumors (GIST) in the imatinib era. Ann Surg Oncol 2006,13(12):1596–1603. 10.1245/s10434-006-9047-3PubMedCrossRef Bonvalot S, et al.: Impact of surgery on advanced gastrointestinal stromal tumors (GIST) in the imatinib era. Ann Surg Oncol 2006,13(12):1596–1603. 10.1245/s10434-006-9047-3PubMedCrossRef
55.
go back to reference Raut CP, et al.: Surgical management of advanced gastrointestinal stromal tumors after treatment with targeted systemic therapy using kinase inhibitors. J Clin Oncol 2006,24(15):2325–2331. 10.1200/JCO.2005.05.3439PubMedCrossRef Raut CP, et al.: Surgical management of advanced gastrointestinal stromal tumors after treatment with targeted systemic therapy using kinase inhibitors. J Clin Oncol 2006,24(15):2325–2331. 10.1200/JCO.2005.05.3439PubMedCrossRef
56.
go back to reference Scaife CL, et al.: Is there a role for surgery in patients with "unresectable" cKIT + gastrointestinal stromal tumors treated with imatinib mesylate? Am J Surg 2003,186(6):665–669. 10.1016/j.amjsurg.2003.08.023PubMedCrossRef Scaife CL, et al.: Is there a role for surgery in patients with "unresectable" cKIT + gastrointestinal stromal tumors treated with imatinib mesylate? Am J Surg 2003,186(6):665–669. 10.1016/j.amjsurg.2003.08.023PubMedCrossRef
57.
go back to reference Hohenberger P, et al.: Indication and results of surgery following imatinib treatment of locally advanced or metastatic GI stromal tumors (GIST). ASCO Meeting Abstracts 2006,24(18_suppl):9500. Hohenberger P, et al.: Indication and results of surgery following imatinib treatment of locally advanced or metastatic GI stromal tumors (GIST). ASCO Meeting Abstracts 2006,24(18_suppl):9500.
58.
go back to reference Eisenberg BL, et al.: Phase II trial of neoadjuvant/adjuvant imatinib mesylate (IM) for advanced primary and metastatic/recurrent operable gastrointestinal stromal tumor (GIST): early results of RTOG 0132/ACRIN 6665. J Surg Oncol 2009,99(1):42–47. 10.1002/jso.21160PubMedCentralPubMedCrossRef Eisenberg BL, et al.: Phase II trial of neoadjuvant/adjuvant imatinib mesylate (IM) for advanced primary and metastatic/recurrent operable gastrointestinal stromal tumor (GIST): early results of RTOG 0132/ACRIN 6665. J Surg Oncol 2009,99(1):42–47. 10.1002/jso.21160PubMedCentralPubMedCrossRef
59.
go back to reference Wang D, et al.: Phase II trial of neoadjuvant/adjuvant imatinib mesylate for advanced primary and metastatic/recurrent operable gastrointestinal stromal tumors: long-term follow-up results of Radiation Therapy Oncology Group 0132. Ann Surg Oncol 2012,19(4):1074–1080. 10.1245/s10434-011-2190-5PubMedCentralPubMedCrossRef Wang D, et al.: Phase II trial of neoadjuvant/adjuvant imatinib mesylate for advanced primary and metastatic/recurrent operable gastrointestinal stromal tumors: long-term follow-up results of Radiation Therapy Oncology Group 0132. Ann Surg Oncol 2012,19(4):1074–1080. 10.1245/s10434-011-2190-5PubMedCentralPubMedCrossRef
60.
go back to reference Machlenkin S, et al.: The effect of neoadjuvant Imatinib therapy on outcome and survival after rectal gastrointestinal stromal tumour. Colorectal Dis 2011,13(10):1110–1115. 10.1111/j.1463-1318.2010.02442.xPubMedCrossRef Machlenkin S, et al.: The effect of neoadjuvant Imatinib therapy on outcome and survival after rectal gastrointestinal stromal tumour. Colorectal Dis 2011,13(10):1110–1115. 10.1111/j.1463-1318.2010.02442.xPubMedCrossRef
61.
go back to reference McAuliffe JC, et al.: A randomized, phase II study of preoperative plus postoperative imatinib in GIST: evidence of rapid radiographic response and temporal induction of tumor cell apoptosis. Ann Surg Oncol 2009,16(4):910–919. 10.1245/s10434-008-0177-7PubMedCrossRef McAuliffe JC, et al.: A randomized, phase II study of preoperative plus postoperative imatinib in GIST: evidence of rapid radiographic response and temporal induction of tumor cell apoptosis. Ann Surg Oncol 2009,16(4):910–919. 10.1245/s10434-008-0177-7PubMedCrossRef
62.
go back to reference DeMatteo RP: Nanoneoadjuvant therapy of gastrointestinal stromal tumor (GIST). Ann Surg Oncol 2009,16(4):799–800. 10.1245/s10434-009-0316-9PubMedCrossRef DeMatteo RP: Nanoneoadjuvant therapy of gastrointestinal stromal tumor (GIST). Ann Surg Oncol 2009,16(4):799–800. 10.1245/s10434-009-0316-9PubMedCrossRef
63.
go back to reference Casali PG, et al.: Gastrointestinal stromal tumours: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 2009,20(Suppl 4):64–67.PubMed Casali PG, et al.: Gastrointestinal stromal tumours: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 2009,20(Suppl 4):64–67.PubMed
64.
go back to reference Plaat BE, et al.: Soft tissue leiomyosarcomas and malignant gastrointestinal stromal tumors: differences in clinical outcome and expression of multidrug resistance proteins. J Clin Oncol 2000,18(18):3211–3220.PubMed Plaat BE, et al.: Soft tissue leiomyosarcomas and malignant gastrointestinal stromal tumors: differences in clinical outcome and expression of multidrug resistance proteins. J Clin Oncol 2000,18(18):3211–3220.PubMed
65.
go back to reference Druker BJ, et al.: Effects of a selective inhibitor of the Abl tyrosine kinase on the growth of Bcr-Abl positive cells. Nat Med 1996,2(5):561–566. 10.1038/nm0596-561PubMedCrossRef Druker BJ, et al.: Effects of a selective inhibitor of the Abl tyrosine kinase on the growth of Bcr-Abl positive cells. Nat Med 1996,2(5):561–566. 10.1038/nm0596-561PubMedCrossRef
66.
go back to reference Buchdunger E, et al.: Inhibition of the Abl protein-tyrosine kinase in vitro and in vivo by a 2-phenylaminopyrimidine derivative. Cancer Res 1996,56(1):100–104.PubMed Buchdunger E, et al.: Inhibition of the Abl protein-tyrosine kinase in vitro and in vivo by a 2-phenylaminopyrimidine derivative. Cancer Res 1996,56(1):100–104.PubMed
67.
go back to reference Buchdunger E, et al.: Abl protein-tyrosine kinase inhibitor STI571 inhibits in vitro signal transduction mediated by c-kit and platelet-derived growth factor receptors. J Pharmacol Exp Ther 2000,295(1):139–145.PubMed Buchdunger E, et al.: Abl protein-tyrosine kinase inhibitor STI571 inhibits in vitro signal transduction mediated by c-kit and platelet-derived growth factor receptors. J Pharmacol Exp Ther 2000,295(1):139–145.PubMed
68.
go back to reference Demetri GD, et al.: Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors. N Engl J Med 2002,347(7):472–480. 10.1056/NEJMoa020461PubMedCrossRef Demetri GD, et al.: Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors. N Engl J Med 2002,347(7):472–480. 10.1056/NEJMoa020461PubMedCrossRef
69.
go back to reference van Oosterom AT, et al.: Safety and efficacy of imatinib (STI571) in metastatic gastrointestinal stromal tumours: a phase I study. Lancet 2001,358(9291):1421–1423. 10.1016/S0140-6736(01)06535-7PubMedCrossRef van Oosterom AT, et al.: Safety and efficacy of imatinib (STI571) in metastatic gastrointestinal stromal tumours: a phase I study. Lancet 2001,358(9291):1421–1423. 10.1016/S0140-6736(01)06535-7PubMedCrossRef
70.
go back to reference Verweij J, et al.: Progression-free survival in gastrointestinal stromal tumours with high-dose imatinib: randomised trial. Lancet 2004,364(9440):1127–1134. 10.1016/S0140-6736(04)17098-0PubMedCrossRef Verweij J, et al.: Progression-free survival in gastrointestinal stromal tumours with high-dose imatinib: randomised trial. Lancet 2004,364(9440):1127–1134. 10.1016/S0140-6736(04)17098-0PubMedCrossRef
71.
go back to reference Van Glabbeke M, et al.: Initial and late resistance to imatinib in advanced gastrointestinal stromal tumors are predicted by different prognostic factors: a European Organisation for Research and Treatment of Cancer-Italian Sarcoma Group-Australasian Gastrointestinal Trials Group study. J Clin Oncol 2005,23(24):5795–5804. 10.1200/JCO.2005.11.601PubMedCrossRef Van Glabbeke M, et al.: Initial and late resistance to imatinib in advanced gastrointestinal stromal tumors are predicted by different prognostic factors: a European Organisation for Research and Treatment of Cancer-Italian Sarcoma Group-Australasian Gastrointestinal Trials Group study. J Clin Oncol 2005,23(24):5795–5804. 10.1200/JCO.2005.11.601PubMedCrossRef
72.
go back to reference Rutkowski P, et al.: Predictive factors for long-term effects of imatinib therapy in patients with inoperable/metastatic CD117(+) gastrointestinal stromal tumors (GISTs). J Cancer Res Clin Oncol 2007,133(9):589–597. 10.1007/s00432-007-0202-4PubMedCrossRef Rutkowski P, et al.: Predictive factors for long-term effects of imatinib therapy in patients with inoperable/metastatic CD117(+) gastrointestinal stromal tumors (GISTs). J Cancer Res Clin Oncol 2007,133(9):589–597. 10.1007/s00432-007-0202-4PubMedCrossRef
73.
go back to reference Armbrust T, et al.: Does imatinib turn recurrent and/or metastasized gastrointestinal stromal tumors into a chronic disease? - single center experience. Eur J Gastroenterol Hepatol 2009,21(7):819–823. 10.1097/MEG.0b013e32830b0f76PubMedCrossRef Armbrust T, et al.: Does imatinib turn recurrent and/or metastasized gastrointestinal stromal tumors into a chronic disease? - single center experience. Eur J Gastroenterol Hepatol 2009,21(7):819–823. 10.1097/MEG.0b013e32830b0f76PubMedCrossRef
74.
go back to reference Heinrich MC, et al.: Kinase mutations and imatinib response in patients with metastatic gastrointestinal stromal tumor. J Clin Oncol 2003,21(23):4342–4349. 10.1200/JCO.2003.04.190PubMedCrossRef Heinrich MC, et al.: Kinase mutations and imatinib response in patients with metastatic gastrointestinal stromal tumor. J Clin Oncol 2003,21(23):4342–4349. 10.1200/JCO.2003.04.190PubMedCrossRef
75.
go back to reference Debiec-Rychter M, et al.: Use of c-KIT/PDGFRA mutational analysis to predict the clinical response to imatinib in patients with advanced gastrointestinal stromal tumours entered on phase I and II studies of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer 2004,40(5):689–695. 10.1016/j.ejca.2003.11.025PubMedCrossRef Debiec-Rychter M, et al.: Use of c-KIT/PDGFRA mutational analysis to predict the clinical response to imatinib in patients with advanced gastrointestinal stromal tumours entered on phase I and II studies of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer 2004,40(5):689–695. 10.1016/j.ejca.2003.11.025PubMedCrossRef
76.
go back to reference Corless CL, et al.: PDGFRA mutations in gastrointestinal stromal tumors: frequency, spectrum and in vitro sensitivity to imatinib. J Clin Oncol 2005,23(23):5357–5364. 10.1200/JCO.2005.14.068PubMedCrossRef Corless CL, et al.: PDGFRA mutations in gastrointestinal stromal tumors: frequency, spectrum and in vitro sensitivity to imatinib. J Clin Oncol 2005,23(23):5357–5364. 10.1200/JCO.2005.14.068PubMedCrossRef
77.
go back to reference Heinrich MC, et al.: Correlation of kinase genotype and clinical outcome in the North American Intergroup Phase III Trial of imatinib mesylate for treatment of advanced gastrointestinal stromal tumor: CALGB 150105 Study by Cancer and Leukemia Group B and Southwest Oncology Group. J Clin Oncol 2008,26(33):5360–5367. 10.1200/JCO.2008.17.4284PubMedCentralPubMedCrossRef Heinrich MC, et al.: Correlation of kinase genotype and clinical outcome in the North American Intergroup Phase III Trial of imatinib mesylate for treatment of advanced gastrointestinal stromal tumor: CALGB 150105 Study by Cancer and Leukemia Group B and Southwest Oncology Group. J Clin Oncol 2008,26(33):5360–5367. 10.1200/JCO.2008.17.4284PubMedCentralPubMedCrossRef
78.
go back to reference Debiec-Rychter M, et al.: KIT mutations and dose selection for imatinib in patients with advanced gastrointestinal stromal tumours. Eur J Cancer 2006,42(8):1093–1103. 10.1016/j.ejca.2006.01.030PubMedCrossRef Debiec-Rychter M, et al.: KIT mutations and dose selection for imatinib in patients with advanced gastrointestinal stromal tumours. Eur J Cancer 2006,42(8):1093–1103. 10.1016/j.ejca.2006.01.030PubMedCrossRef
79.
go back to reference Van Glabbeke MM, et al.: Comparison of two doses of imatinib for the treatment of unresectable or metastatic gastrointestinal stromal tumors (GIST): A meta-analyis based on 1,640 patients (pts). ASCO Meeting Abstracts 2007,25(18_suppl):10004. Van Glabbeke MM, et al.: Comparison of two doses of imatinib for the treatment of unresectable or metastatic gastrointestinal stromal tumors (GIST): A meta-analyis based on 1,640 patients (pts). ASCO Meeting Abstracts 2007,25(18_suppl):10004.
80.
go back to reference Blay JY, et al.: Prospective multicentric randomized phase III study of imatinib in patients with advanced gastrointestinal stromal tumors comparing interruption versus continuation of treatment beyond 1 year: the French Sarcoma Group. J Clin Oncol 2007,25(9):1107–1113. 10.1200/JCO.2006.09.0183PubMedCrossRef Blay JY, et al.: Prospective multicentric randomized phase III study of imatinib in patients with advanced gastrointestinal stromal tumors comparing interruption versus continuation of treatment beyond 1 year: the French Sarcoma Group. J Clin Oncol 2007,25(9):1107–1113. 10.1200/JCO.2006.09.0183PubMedCrossRef
81.
go back to reference Le Cesne A, et al.: Discontinuation of imatinib in patients with advanced gastrointestinal stromal tumours after 3 years of treatment: an open-label multicentre randomised phase 3 trial. Lancet Oncol 2010,11(10):942–949. 10.1016/S1470-2045(10)70222-9PubMedCrossRef Le Cesne A, et al.: Discontinuation of imatinib in patients with advanced gastrointestinal stromal tumours after 3 years of treatment: an open-label multicentre randomised phase 3 trial. Lancet Oncol 2010,11(10):942–949. 10.1016/S1470-2045(10)70222-9PubMedCrossRef
82.
go back to reference Blay JY, Perol D, Le Cesne A, et al.: Imatinib rechallenge in patients with advanced gastrointestinal stromal tumors. Ann Oncol 2012,23():-. Blay JY, Perol D, Le Cesne A, et al.: Imatinib rechallenge in patients with advanced gastrointestinal stromal tumors. Ann Oncol 2012,23():-.
83.
go back to reference Domont J, et al.: Influence of imatinib interruption and imatinib rechallenge on the residual tumor volume in patients with advanced GIST: Results of the BFR14 prospective French Sarcoma Group randomized phase III trial. ASCO Meeting Abstracts 2011,29(15_suppl):10054. Domont J, et al.: Influence of imatinib interruption and imatinib rechallenge on the residual tumor volume in patients with advanced GIST: Results of the BFR14 prospective French Sarcoma Group randomized phase III trial. ASCO Meeting Abstracts 2011,29(15_suppl):10054.
84.
go back to reference Stroobants S, et al.: 18FDG-Positron emission tomography for the early prediction of response in advanced soft tissue sarcoma treated with imatinib mesylate (Glivec). Eur J Cancer 2003,39(14):2012–2020. 10.1016/S0959-8049(03)00073-XPubMedCrossRef Stroobants S, et al.: 18FDG-Positron emission tomography for the early prediction of response in advanced soft tissue sarcoma treated with imatinib mesylate (Glivec). Eur J Cancer 2003,39(14):2012–2020. 10.1016/S0959-8049(03)00073-XPubMedCrossRef
85.
go back to reference Antoch G, et al.: Comparison of PET, CT, and dual-modality PET/CT imaging for monitoring of imatinib (STI571) therapy in patients with gastrointestinal stromal tumors. J Nucl Med 2004,45(3):357–365.PubMed Antoch G, et al.: Comparison of PET, CT, and dual-modality PET/CT imaging for monitoring of imatinib (STI571) therapy in patients with gastrointestinal stromal tumors. J Nucl Med 2004,45(3):357–365.PubMed
86.
go back to reference Van den Abbeele AD, Badawi RD: Use of positron emission tomography in oncology and its potential role to assess response to imatinib mesylate therapy in gastrointestinal stromal tumors (GISTs). Eur J Cancer 2002,38(Suppl 5):S60-S65.PubMedCrossRef Van den Abbeele AD, Badawi RD: Use of positron emission tomography in oncology and its potential role to assess response to imatinib mesylate therapy in gastrointestinal stromal tumors (GISTs). Eur J Cancer 2002,38(Suppl 5):S60-S65.PubMedCrossRef
87.
go back to reference Benjamin RS, et al.: We should desist using RECIST, at least in GIST. J Clin Oncol 2007,25(13):1760–1764. 10.1200/JCO.2006.07.3411PubMedCrossRef Benjamin RS, et al.: We should desist using RECIST, at least in GIST. J Clin Oncol 2007,25(13):1760–1764. 10.1200/JCO.2006.07.3411PubMedCrossRef
88.
go back to reference Joensuu H, et al.: Effect of the tyrosine kinase inhibitor STI571 in a patient with a metastatic gastrointestinal stromal tumor. N Engl J Med 2001,344(14):1052–1056. 10.1056/NEJM200104053441404PubMedCrossRef Joensuu H, et al.: Effect of the tyrosine kinase inhibitor STI571 in a patient with a metastatic gastrointestinal stromal tumor. N Engl J Med 2001,344(14):1052–1056. 10.1056/NEJM200104053441404PubMedCrossRef
89.
go back to reference Bechtold RE, et al.: Cystic changes in hepatic and peritoneal metastases from gastrointestinal stromal tumors treated with Gleevec. Abdom Imaging 2003,28(6):808–814.PubMedCrossRef Bechtold RE, et al.: Cystic changes in hepatic and peritoneal metastases from gastrointestinal stromal tumors treated with Gleevec. Abdom Imaging 2003,28(6):808–814.PubMedCrossRef
90.
go back to reference Linton KM, Taylor MB, Radford JA: Response evaluation in gastrointestinal stromal tumours treated with imatinib: misdiagnosis of disease progression on CT due to cystic change in liver metastases. Br J Radiol 2006,79(944):e40-e44. 10.1259/bjr/62872118PubMedCrossRef Linton KM, Taylor MB, Radford JA: Response evaluation in gastrointestinal stromal tumours treated with imatinib: misdiagnosis of disease progression on CT due to cystic change in liver metastases. Br J Radiol 2006,79(944):e40-e44. 10.1259/bjr/62872118PubMedCrossRef
91.
go back to reference Heinrich MC, et al.: Molecular correlates of imatinib resistance in gastrointestinal stromal tumors. J Clin Oncol 2006,24(29):4764–4774. 10.1200/JCO.2006.06.2265PubMedCrossRef Heinrich MC, et al.: Molecular correlates of imatinib resistance in gastrointestinal stromal tumors. J Clin Oncol 2006,24(29):4764–4774. 10.1200/JCO.2006.06.2265PubMedCrossRef
92.
go back to reference Desai J, et al.: Clonal evolution of resistance to imatinib in patients with metastatic gastrointestinal stromal tumors. Clin Cancer Res 2007,13(18 Pt 1):5398–5405.PubMedCrossRef Desai J, et al.: Clonal evolution of resistance to imatinib in patients with metastatic gastrointestinal stromal tumors. Clin Cancer Res 2007,13(18 Pt 1):5398–5405.PubMedCrossRef
93.
go back to reference Eechoute K, et al.: Drug transporters and imatinib treatment: implications for clinical practice. Clin Cancer Res 2011,17(3):406–415. 10.1158/1078-0432.CCR-10-2250PubMedCrossRef Eechoute K, et al.: Drug transporters and imatinib treatment: implications for clinical practice. Clin Cancer Res 2011,17(3):406–415. 10.1158/1078-0432.CCR-10-2250PubMedCrossRef
94.
go back to reference Shankar S, et al.: Gastrointestinal stromal tumor: new nodule-within-a-mass pattern of recurrence after partial response to imatinib mesylate. Radiology 2005,235(3):892–898. 10.1148/radiol.2353040332PubMedCrossRef Shankar S, et al.: Gastrointestinal stromal tumor: new nodule-within-a-mass pattern of recurrence after partial response to imatinib mesylate. Radiology 2005,235(3):892–898. 10.1148/radiol.2353040332PubMedCrossRef
95.
go back to reference Debiec-Rychter M, et al.: Mechanisms of resistance to imatinib mesylate in gastrointestinal stromal tumors and activity of the PKC412 inhibitor against imatinib-resistant mutants. Gastroenterology 2005,128(2):270–279. 10.1053/j.gastro.2004.11.020PubMedCrossRef Debiec-Rychter M, et al.: Mechanisms of resistance to imatinib mesylate in gastrointestinal stromal tumors and activity of the PKC412 inhibitor against imatinib-resistant mutants. Gastroenterology 2005,128(2):270–279. 10.1053/j.gastro.2004.11.020PubMedCrossRef
96.
go back to reference Demetri GD, et al.: Molecular target modulation, imaging, and clinical evaluation of gastrointestinal stromal tumor patients treated with sunitinib malate after imatinib failure. Clin Cancer Res 2009,15(18):5902–5909. 10.1158/1078-0432.CCR-09-0482PubMedCentralPubMedCrossRef Demetri GD, et al.: Molecular target modulation, imaging, and clinical evaluation of gastrointestinal stromal tumor patients treated with sunitinib malate after imatinib failure. Clin Cancer Res 2009,15(18):5902–5909. 10.1158/1078-0432.CCR-09-0482PubMedCentralPubMedCrossRef
97.
go back to reference Heinrich MC, et al.: Primary and secondary kinase genotypes correlate with the biological and clinical activity of sunitinib in imatinib-resistant gastrointestinal stromal tumor. J Clin Oncol 2008,26(33):5352–5359. 10.1200/JCO.2007.15.7461PubMedCentralPubMedCrossRef Heinrich MC, et al.: Primary and secondary kinase genotypes correlate with the biological and clinical activity of sunitinib in imatinib-resistant gastrointestinal stromal tumor. J Clin Oncol 2008,26(33):5352–5359. 10.1200/JCO.2007.15.7461PubMedCentralPubMedCrossRef
98.
go back to reference Demetri GD, et al.: Efficacy and safety of sunitinib in patients with advanced gastrointestinal stromal tumour after failure of imatinib: a randomised controlled trial. Lancet 2006,368(9544):1329–1338. 10.1016/S0140-6736(06)69446-4PubMedCrossRef Demetri GD, et al.: Efficacy and safety of sunitinib in patients with advanced gastrointestinal stromal tumour after failure of imatinib: a randomised controlled trial. Lancet 2006,368(9544):1329–1338. 10.1016/S0140-6736(06)69446-4PubMedCrossRef
99.
go back to reference Guo T, et al.: Mechanisms of sunitinib resistance in gastrointestinal stromal tumors harboring KITAY502–3ins mutation: an in vitro mutagenesis screen for drug resistance. Clin Cancer Res 2009,15(22):6862–6870. 10.1158/1078-0432.CCR-09-1315PubMedCentralPubMedCrossRef Guo T, et al.: Mechanisms of sunitinib resistance in gastrointestinal stromal tumors harboring KITAY502–3ins mutation: an in vitro mutagenesis screen for drug resistance. Clin Cancer Res 2009,15(22):6862–6870. 10.1158/1078-0432.CCR-09-1315PubMedCentralPubMedCrossRef
100.
go back to reference Joensuu H, et al.: Phase II, open-label study of PTK787/ZK222584 for the treatment of metastatic gastrointestinal stromal tumors resistant to imatinib mesylate. Ann Oncol 2008,19(1):173–177.PubMedCrossRef Joensuu H, et al.: Phase II, open-label study of PTK787/ZK222584 for the treatment of metastatic gastrointestinal stromal tumors resistant to imatinib mesylate. Ann Oncol 2008,19(1):173–177.PubMedCrossRef
101.
go back to reference Montemurro M, et al.: Nilotinib in the treatment of advanced gastrointestinal stromal tumours resistant to both imatinib and sunitinib. Eur J Cancer 2009,45(13):2293–2297. 10.1016/j.ejca.2009.04.030PubMedCrossRef Montemurro M, et al.: Nilotinib in the treatment of advanced gastrointestinal stromal tumours resistant to both imatinib and sunitinib. Eur J Cancer 2009,45(13):2293–2297. 10.1016/j.ejca.2009.04.030PubMedCrossRef
102.
go back to reference Dewaele B, et al.: Activity of dasatinib, a dual SRC/ABL kinase inhibitor, and IPI-504, a heat shock protein 90 inhibitor, against gastrointestinal stromal tumor-associated PDGFRAD842V mutation. Clin Cancer Res 2008,14(18):5749–5758. 10.1158/1078-0432.CCR-08-0533PubMedCrossRef Dewaele B, et al.: Activity of dasatinib, a dual SRC/ABL kinase inhibitor, and IPI-504, a heat shock protein 90 inhibitor, against gastrointestinal stromal tumor-associated PDGFRAD842V mutation. Clin Cancer Res 2008,14(18):5749–5758. 10.1158/1078-0432.CCR-08-0533PubMedCrossRef
103.
go back to reference Demetri GD, et al.: A phase I study of single-agent nilotinib or in combination with imatinib in patients with imatinib-resistant gastrointestinal stromal tumors. Clin Cancer Res 2009,15(18):5910–5916. 10.1158/1078-0432.CCR-09-0542PubMedCentralPubMedCrossRef Demetri GD, et al.: A phase I study of single-agent nilotinib or in combination with imatinib in patients with imatinib-resistant gastrointestinal stromal tumors. Clin Cancer Res 2009,15(18):5910–5916. 10.1158/1078-0432.CCR-09-0542PubMedCentralPubMedCrossRef
104.
go back to reference Benjamin RS, et al.: Efficacy and safety of motesanib, an oral inhibitor of VEGF, PDGF, and Kit receptors, in patients with imatinib-resistant gastrointestinal stromal tumors. Cancer Chemother Pharmacol 2011,68(1):69–77. 10.1007/s00280-010-1431-9PubMedCentralPubMedCrossRef Benjamin RS, et al.: Efficacy and safety of motesanib, an oral inhibitor of VEGF, PDGF, and Kit receptors, in patients with imatinib-resistant gastrointestinal stromal tumors. Cancer Chemother Pharmacol 2011,68(1):69–77. 10.1007/s00280-010-1431-9PubMedCentralPubMedCrossRef
105.
go back to reference Wiebe L, et al.: Activity of sorafenib (SOR) in patients (pts) with imatinib (IM) and sunitinib (SU)-resistant (RES) gastrointestinal stromal tumors (GIST): A phase II trial of the University of Chicago Phase II Consortium. ASCO Meeting Abstracts 2008,26(15_suppl):10502. Wiebe L, et al.: Activity of sorafenib (SOR) in patients (pts) with imatinib (IM) and sunitinib (SU)-resistant (RES) gastrointestinal stromal tumors (GIST): A phase II trial of the University of Chicago Phase II Consortium. ASCO Meeting Abstracts 2008,26(15_suppl):10502.
106.
go back to reference Campbell NP, et al.: Final results of a University of Chicago phase II consortium trial of sorafenib (SOR) in patients (pts) with imatinib (IM)- and sunitinib (SU)-resistant (RES) gastrointestinal stromal tumors (GIST). ASCO Meeting Abstracts 2011,29(4_suppl):4. Campbell NP, et al.: Final results of a University of Chicago phase II consortium trial of sorafenib (SOR) in patients (pts) with imatinib (IM)- and sunitinib (SU)-resistant (RES) gastrointestinal stromal tumors (GIST). ASCO Meeting Abstracts 2011,29(4_suppl):4.
107.
go back to reference Reichardt P, et al.: Phase III study of nilotinib versus best supportive care with or without a TKI in patients with gastrointestinal stromal tumors resistant to or intolerant of imatinib and sunitinib. Ann Oncol 2012,23():-. Reichardt P, et al.: Phase III study of nilotinib versus best supportive care with or without a TKI in patients with gastrointestinal stromal tumors resistant to or intolerant of imatinib and sunitinib. Ann Oncol 2012,23():-.
108.
go back to reference Schoffski P, et al.: A phase I-II study of everolimus (RAD001) in combination with imatinib in patients with imatinib-resistant gastrointestinal stromal tumors. Ann Oncol 2010,21(10):1990–1998. 10.1093/annonc/mdq076PubMedCrossRef Schoffski P, et al.: A phase I-II study of everolimus (RAD001) in combination with imatinib in patients with imatinib-resistant gastrointestinal stromal tumors. Ann Oncol 2010,21(10):1990–1998. 10.1093/annonc/mdq076PubMedCrossRef
109.
go back to reference Bauer S, et al.: Heat shock protein 90 inhibition in imatinib-resistant gastrointestinal stromal tumor. Cancer Res 2006,66(18):9153–9161. 10.1158/0008-5472.CAN-06-0165PubMedCrossRef Bauer S, et al.: Heat shock protein 90 inhibition in imatinib-resistant gastrointestinal stromal tumor. Cancer Res 2006,66(18):9153–9161. 10.1158/0008-5472.CAN-06-0165PubMedCrossRef
110.
go back to reference Demetri GD, et al.: An open-label phase II study of the Hsp90 inhibitor ganetespib (STA-9090) in patients (pts) with metastatic and/or unresectable GIST. ASCO Meeting Abstracts 2011,29(15_suppl):10011. Demetri GD, et al.: An open-label phase II study of the Hsp90 inhibitor ganetespib (STA-9090) in patients (pts) with metastatic and/or unresectable GIST. ASCO Meeting Abstracts 2011,29(15_suppl):10011.
111.
go back to reference Mazurenko NN, et al.: Prognostic relevance of genetic aberrations in gastrointestinal stromal tumors. ASCO GI Cancery Symposium 2011,29(Suppl 4):49. Mazurenko NN, et al.: Prognostic relevance of genetic aberrations in gastrointestinal stromal tumors. ASCO GI Cancery Symposium 2011,29(Suppl 4):49.
112.
go back to reference Watanabe T, et al.: Impact of c-kit mutations, including codons 557 and/or 558, on the recurrence-free survival after curative surgery in patients with GIST. ASCO GI Cancer Symposium 2011,29(Suppl 4):12. Watanabe T, et al.: Impact of c-kit mutations, including codons 557 and/or 558, on the recurrence-free survival after curative surgery in patients with GIST. ASCO GI Cancer Symposium 2011,29(Suppl 4):12.
113.
go back to reference George S, et al.: Hypertension (HTN) as a potential biomarker of efficacy in patients (pts) with gastrointestinal stromal tumor (GIST) treated with sunitinib (SU). ASCO GI Cancer Symposium 2011,29(Suppl 4):38. George S, et al.: Hypertension (HTN) as a potential biomarker of efficacy in patients (pts) with gastrointestinal stromal tumor (GIST) treated with sunitinib (SU). ASCO GI Cancer Symposium 2011,29(Suppl 4):38.
114.
go back to reference Yoshikawa K, et al.: The utility of PET-CT in predicting malignant potential of GIST. ASCO GI Cancer Symposium 2012,30(Suppl 4):38. Yoshikawa K, et al.: The utility of PET-CT in predicting malignant potential of GIST. ASCO GI Cancer Symposium 2012,30(Suppl 4):38.
115.
go back to reference Seligmann JF, et al.: D-dimers as a tumor marker in GIST: Can it reduce the frequency of CT scanning in patients receiving palliative imatinib? ASCO GI Cancer Symposium 2012,30(Suppl 4):119. Seligmann JF, et al.: D-dimers as a tumor marker in GIST: Can it reduce the frequency of CT scanning in patients receiving palliative imatinib? ASCO GI Cancer Symposium 2012,30(Suppl 4):119.
116.
go back to reference Bilimoria KY, et al.: Incorporation of adjuvant therapy into the multimodality management of gastrointestinal stromal tumors of the stomach in the United States. Ann Surg Oncol 2012,19(1):184–191. 10.1245/s10434-011-1842-9PubMedCrossRef Bilimoria KY, et al.: Incorporation of adjuvant therapy into the multimodality management of gastrointestinal stromal tumors of the stomach in the United States. Ann Surg Oncol 2012,19(1):184–191. 10.1245/s10434-011-1842-9PubMedCrossRef
117.
go back to reference Witkowski ER, et al.: Nationwide trends in diagnosis and outcomes of gastrointestinal stromal tumors in the era of targeted therapy. ASCO GI Cancer Symposium 2011,29(Suppl 4):121. Witkowski ER, et al.: Nationwide trends in diagnosis and outcomes of gastrointestinal stromal tumors in the era of targeted therapy. ASCO GI Cancer Symposium 2011,29(Suppl 4):121.
118.
go back to reference Italiano A, et al.: Patterns of Care, Prognosis, and Survival in Patients with Metastatic Gastrointestinal Stromal Tumors (GIST) Refractory to First-Line Imatinib and Second-Line Sunitinib. Ann Surg Oncol 2012,19(5):1551–1559. 10.1245/s10434-011-2120-6PubMedCrossRef Italiano A, et al.: Patterns of Care, Prognosis, and Survival in Patients with Metastatic Gastrointestinal Stromal Tumors (GIST) Refractory to First-Line Imatinib and Second-Line Sunitinib. Ann Surg Oncol 2012,19(5):1551–1559. 10.1245/s10434-011-2120-6PubMedCrossRef
119.
go back to reference Blesius A, et al.: Who are the long responders to imatinib (IM) in patients with advanced GIST? Results of the BFR14 prospective French Sarcoma Group randomized phase III trial. ASCO Meeting Abstracts 2011,29(15_suppl):10048. Blesius A, et al.: Who are the long responders to imatinib (IM) in patients with advanced GIST? Results of the BFR14 prospective French Sarcoma Group randomized phase III trial. ASCO Meeting Abstracts 2011,29(15_suppl):10048.
120.
go back to reference Bertucci F, et al.: Prognostic factors for progression-free and overall survival in patients with advanced GIST treated with standard-dose imatinib (IM): Results from the BFR14 phase III trial of the French Sarcoma Group. ASCO Meeting Abstracts 2011,29(15_suppl):e20506. Bertucci F, et al.: Prognostic factors for progression-free and overall survival in patients with advanced GIST treated with standard-dose imatinib (IM): Results from the BFR14 phase III trial of the French Sarcoma Group. ASCO Meeting Abstracts 2011,29(15_suppl):e20506.
122.
123.
go back to reference Fremin C, Meloche S: From basic research to clinical development of MEK1/2 inhibitors for cancer therapy. J Hematol Oncol 2010,3(1):8. 10.1186/1756-8722-3-8PubMedCentralPubMedCrossRef Fremin C, Meloche S: From basic research to clinical development of MEK1/2 inhibitors for cancer therapy. J Hematol Oncol 2010,3(1):8. 10.1186/1756-8722-3-8PubMedCentralPubMedCrossRef
Metadata
Title
Current management and prognostic features for gastrointestinal stromal tumor (GIST)
Authors
Gurpreet Lamba
Ridhi Gupta
Byung Lee
Samir Ambrale
Delong Liu
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Experimental Hematology & Oncology / Issue 1/2012
Electronic ISSN: 2162-3619
DOI
https://doi.org/10.1186/2162-3619-1-14

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