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Neoadjuvant, adjuva...
Abstract
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- Malignant gastrointestinal stromal tumours (GIST) have a poor prognosis. Since these tumours are resistant to conventional radiation and chemotherapy, surgery has been the mainstay of treatment. However, surgery is usually inadequate for the treatment of malignant GIST. Imatinib, a KIT tyrosine kinase inhibitor, has recently been found to have a dramatic antitumour effect on GIST. In this centre-based study of 17 consecutive patients with high-risk or overtly malignant GIST, imatinib was used in three different settings - palliatively, adjuvantly, and neoadjuvantly. The treatment was found to be safe and particularly effective in tumours with activating mutations of exon 11 of the KIT gene. Clinical response to imatinib treatment correlated morphologically to tumour necrosis, hyalinisation, and reduced proliferative activity. The value of neoadjuvant imatinib treatment was illustrated in one case.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- Adult
- Aged
- Antineoplastic Agents
- administration & dosage
- pharmacology
- Chemotherapy
- Adjuvant
- Female
- Gastrointestinal Neoplasms
- drug therapy
- pathology
- surgery
- Humans
- Male
- Middle Aged
- Neoadjuvant Therapy
- Palliative Care
- Piperazines
- administration & dosage
- pharmacology
- Prognosis
- Proto-Oncogene Proteins c-kit
- genetics
- Pyrimidines
- administration & dosage
- pharmacology
- Risk Factors
- Stromal Cells
- pathology
- Treatment Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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Bümming, Per, 19 ...
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Andersson, Johan ...
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Meis-Kindblom, J ...
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Klingenstierna, ...
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Engström, Katari ...
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Stierner, Ulrika ...
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Wängberg, Bo, 19 ...
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Jansson, Svante, ...
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Ahlman, Håkan, 1 ...
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Kindblom, Lars-G ...
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Nilsson, Bengt E ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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British journal ...
- By the university
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University of Gothenburg