Gastrointestinal stromal tumors

The aim of review. To present up-to-date data on diagnostics of gastrointestinal stromal tumors (GIST) and experience N.N. Burdenko Chief military clinical hospital in treatment of such patients.Original positions. Gastrointestinal stromal tumors, that were described in 1983 by M.T.Mazur and H.B.Cla...

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Main Author: A. P. Seryakov
Format: Article
Language:Russian
Published: Gastro LLC 2010-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1546
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author A. P. Seryakov
author_facet A. P. Seryakov
author_sort A. P. Seryakov
collection DOAJ
description The aim of review. To present up-to-date data on diagnostics of gastrointestinal stromal tumors (GIST) and experience N.N. Burdenko Chief military clinical hospital in treatment of such patients.Original positions. Gastrointestinal stromal tumors, that were described in 1983 by M.T.Mazur and H.B.Clark, fall into to group of rare tumors of gastro-intestinal tract of mesenchymal origin with characteristic morphological and immunohistochemical pattern. Issues of treatment of these patients were extremely actual. Surgical resection was the first line treatment, however the mean survival rate after successful operative treatment was only 5 years, even at complete resection. In the case if relapse or metastases occurs surgical methods were ineffective, and chemo- or radiation therapy allowed to receive rather limited response (in particular, survival rate at late stages of GIST did not exceed 1 year). Diagnostics, treatment and outcome at patients with GIST underwent significant changes for last 10 years due to discovering of molecular mechanisms, resulting in development of tumor: activated mutations of KITand PDGFR α-tyrosine kinase. These findings promoted development of tyrosine kinase inhibitor – imatinib which demonstrated essential advantage in terms of survival rate of patients. Experience of treatment GIST within N.N. Burdenko Chief military clinical hospital corresponds the level of leading clinics.Conclusion. Discoveries in the area of GIST biology allowed to introduce the new scientific and practical developments in treatment of patients.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-f83ceebb401b4dc1834b6ed401f2201c2025-02-10T16:14:30ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732010-08-0120449571056Gastrointestinal stromal tumorsA. P. Seryakov0Главный военный клинический госпиталь им. Н.Н. БурденкоThe aim of review. To present up-to-date data on diagnostics of gastrointestinal stromal tumors (GIST) and experience N.N. Burdenko Chief military clinical hospital in treatment of such patients.Original positions. Gastrointestinal stromal tumors, that were described in 1983 by M.T.Mazur and H.B.Clark, fall into to group of rare tumors of gastro-intestinal tract of mesenchymal origin with characteristic morphological and immunohistochemical pattern. Issues of treatment of these patients were extremely actual. Surgical resection was the first line treatment, however the mean survival rate after successful operative treatment was only 5 years, even at complete resection. In the case if relapse or metastases occurs surgical methods were ineffective, and chemo- or radiation therapy allowed to receive rather limited response (in particular, survival rate at late stages of GIST did not exceed 1 year). Diagnostics, treatment and outcome at patients with GIST underwent significant changes for last 10 years due to discovering of molecular mechanisms, resulting in development of tumor: activated mutations of KITand PDGFR α-tyrosine kinase. These findings promoted development of tyrosine kinase inhibitor – imatinib which demonstrated essential advantage in terms of survival rate of patients. Experience of treatment GIST within N.N. Burdenko Chief military clinical hospital corresponds the level of leading clinics.Conclusion. Discoveries in the area of GIST biology allowed to introduce the new scientific and practical developments in treatment of patients.https://www.gastro-j.ru/jour/article/view/1546gastrointestinal stromal tumorsimatinib
spellingShingle A. P. Seryakov
Gastrointestinal stromal tumors
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
gastrointestinal stromal tumors
imatinib
title Gastrointestinal stromal tumors
title_full Gastrointestinal stromal tumors
title_fullStr Gastrointestinal stromal tumors
title_full_unstemmed Gastrointestinal stromal tumors
title_short Gastrointestinal stromal tumors
title_sort gastrointestinal stromal tumors
topic gastrointestinal stromal tumors
imatinib
url https://www.gastro-j.ru/jour/article/view/1546
work_keys_str_mv AT apseryakov gastrointestinalstromaltumors