Potential indicators predict progress after surgical resection of gastrointestinal stromal tumors

doi:10.1007/s11684-012-0203-9

Front Med

2012, Vol. 6

Issue (3) : 317-321 https://doi.org/10.1007/s11684-012-0203-9

RESEARCH ARTICLE

Potential indicators predict progress after surgical resection of gastrointestinal stromal tumors

Qinggang Hu, Shanglong Liu, Jianwei Jiang, Chen Zhang, Xiaowei Liu, Qichang Zheng(

)

Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China

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Abstract

In order to find out the potential indicators predicting prognosis of malignant gastrointestinal stromal tumors (GISTs) after surgical resection, we collected clinical records of 80 patients with malignant GISTs. Tumor location, size, mitotic index, necrosis were compared with the prognosis of malignant GISTs by Kaplan-Meier method and log-rank test. After a median follow-up of 844 days (52–2 145), we found that as National Institutes of Health suggested, tumors with intermediate risk had more favorable prognosis than that with high risk. Their 3-year survival rate were 65.3% and 41.3%, respectively (P<0.001). Moreover, tumor size and mitotic index were associated with free survival. The 3-year survival rate for patients with tumor size≤10 cm and>10 cm were 62.3% and 41.8%, respectively (P = 0.002), Tumors with mitotic index≤5/50 HPF had a higher 3-year survival rate than tumors with mitotic index>5/50 HPF (67.1% versus 40.7%, P = 0.005). The presence of necrosis was directly related to the malignant behavior. The 3-year survival rate for presence and absence necrosis were 50.8% and 64.8% (P = 0.008). From the present study, we can conclude that besides tumors size and mitotic index, tumor location and necrosis also influence on the long-term survival of patient with malignant GISTs after surgical resection.

Keywords gastrointestinal stromal tumors surgery survival

Corresponding Author(s): Zheng Qichang,Email:zhengqichang@yahoo.cn

Issue Date: 05 September 2012

Cite this article:

Jianwei Jiang,Chen Zhang,Xiaowei Liu, et al. Potential indicators predict progress after surgical resection of gastrointestinal stromal tumors[J]. Front Med, 2012, 6(3): 317-321.

URL:

https://academic.hep.com.cn/fmd/EN/10.1007/s11684-012-0203-9
https://academic.hep.com.cn/fmd/EN/Y2012/V6/I3/317

Fig.1 Age and gender distributions of patients with malignant GISTs.

Tab.1 Clinical data of patients with malignant GISTs

Fig.2 Survival of patients with intermediate risk versus patients with high risk GISTs.

Fig.3 Survival of malignant GISTs in different locations (stomach versus small intestine).

Fig.4 Survival of patients with malignant GISTs based on tumor size (size≤10 cm versus size>10 cm).

Fig.5 Survival of patients with malignant GISTs based on mitotic index.

Fig.6 Survival of patients with malignant GISTs based on necrosis (absence of necrosis versus presence of necrosis).

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