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Case Reports
. 2011 Oct 21;3(4):e35.
doi: 10.4081/rt.2011.e35. Epub 2011 Oct 24.

Radiotherapy in the treatment of gastrointestinal stromal tumor

Affiliations
Case Reports

"VSports手机版" Radiotherapy in the treatment of gastrointestinal stromal tumor

Christin A Knowlton et al. Rare Tumors. .

Abstract

Gastrointestinal stromal tumors (GISTs) are uncommon mesenchymal tumors of the gastrointestinal tract. Up to one-third of GISTs are malignant with a high rate of metastasis. Surgical resection is the mainstay of care for patients with resectable disease. Imatinib mesylate, a selective tyrosine kinase inhibitor, is the current standard of care for GISTs that cannot be completely resected or in cases of metastatic GIST VSports手机版. Although often overlooked, radiation therapy is a viable option for select patients with GIST. We report the case of a patient with unresectable GIST who was treated with local radiotherapy and achieved long-term response. We also present a review of the literature regarding the use of radiotherapy in the treatment of GIST. GIST has been shown to be a radiosensitive tumor. Radiotherapy can offer long-term local control and should be considered in the adjuvant or palliative setting. The role of radiotherapy delivered concurrently with imatinib in the treatment of GIST may warrant further investigation. .

Keywords: GIST; gastrointestinal stromal tumor; radiation therapy V体育安卓版. ; radiotherapy. .

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V体育ios版 - Conflict of interest statement

Conflict of interest: the authors report no conflicts of interest.

V体育官网 - Figures

Figure 1
Figure 1
Gastrointestinal stromal tumor (GIST) of the stomach with spindle cells in a fasicular pattern (H&E stain; magnification 100×).
Figure 2
Figure 2
Spindle cell GIST showing diffuse immunopositivity for CD117 (KIT) (magnification 400×).
Figure 3
Figure 3
Spindle cell GIST with strong immunostaining for CD34 (magnification 400×).
Figure 4
Figure 4
Digitally reconstructed radiographs demonstrating a re-creation of the antero-posterior (A) and posteroanterior (B) radiation treatment fields.

References

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