Brief Article
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Apr 14, 2011; 17(14): 1836-1839
Published online Apr 14, 2011. doi: 10.3748/wjg.v17.i14.1836
Gastrointestinal stromal tumors: Thirty years experience of an Institution
Simone Arolfo, Paolo Mello Teggia, Mario Nano
Simone Arolfo, Paolo Mello Teggia, Mario Nano, Department of Clinical and Biological Sciences, San Luigi Gonzaga Teaching Hospital, University of Turin-Second School of Medicine, Reg. Gonzole 10, 10043 Orbassano, Turin, Italy
Author contributions: Arolfo S designed the study and collected data; Arolfo S, Mello Teggia P and Nano M analyzed data; Arolfo S and Nano M wrote the article.
Correspondence to: Simone Arolfo, MD, Department of Clinical and Biological Sciences, San Luigi Gonzaga Teaching Hospital, Reg. Gonzole 10, 10043 Orbassano, Turin, Italy. simone.arolfo@tiscali.it
Telephone: +39-11-9026307 Fax: +39-11-9026887
Received: August 19, 2010
Revised: September 27, 2010
Accepted: October 4, 2010
Published online: April 14, 2011
Abstract

AIM: To report our experience of gastrointestinal stromal tumors (GISTs) during the last 29 years.

METHODS: Thirty two cases of GIST referred to our Institution from the 1st January 1981 to the 10th June 2010 were reviewed. Metastases, recurrence and survival data were collected in relation to age, history, clinical presentation, location, size, resection margins and cellular features.

RESULTS: Mean age was 63.7 years (range, 40-90) and incidence was slightly higher in males (56%). R0 resection was performed in 90.7% of cases, R1 in 6.2% (2 cases) and R2 in 3.1% (one case). Using Fletcher’s classification 8/32 (25%) had high risk, 9/32 (28%) intermediate and 15/32 (47%) low risk tumors. Follow-up varied from 1 mo to 29 years, with a median of 8 years; overall survival was 75% (24/32), disease-free survival was 72% and tumor-related mortality was 9.3%. Three patients with high risk GIST were treated with imatinib mesylate: one developed a recurrence after 36 mo, and 2 are free from disease at 41 mo.

CONCLUSION: Surgical treatment remains the gold standard therapy for resectable GISTs. Pathological and biological features of the neoplasm represent the most important factors predicting the prognosis.

Keywords: Gastrointestinal stromal tumors; Fletcher’s classification; Resection margins; Recurrence