Management of gastrointestinal stromal tumours in the Imatinib era: a surgeon's perspective
2008

Managing Gastrointestinal Stromal Tumors with Imatinib

Sample size: 16 publication Evidence: low

Author Information

Author(s): Ravindra S Date, Nicholas A Stylianides, Kishore G Pursnani, Jeremy B Ward, Muntzer M Mughal

Primary Institution: Department of Gastrointestinal Surgery, Lancashire Teaching Hospital NHS Foundation Trust

Hypothesis

How can Imatinib improve the management of gastrointestinal stromal tumors (GIST)?

Conclusion

Most GISTs can be managed effectively using existing protocols, but further research is needed for specific management situations.

Supporting Evidence

  • Surgical resection has a 5-year survival rate of 28-35%.
  • Imatinib has improved outcomes in metastatic and unresectable GIST.
  • Current guidelines are clear for managing unresectable and metastatic GIST.

Takeaway

Doctors can treat most stomach tumors called GISTs with surgery and a medicine called Imatinib, but they need to learn more about some tricky cases.

Methodology

A case note study of patients diagnosed with GIST from a prospectively kept database.

Limitations

The study had a small sample size and did not apply any statistics to the data.

Participant Demographics

Median age was 66 years, with a male to female ratio of 9:7.

Digital Object Identifier (DOI)

10.1186/1477-7819-6-77

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