Xiang YY, Li YY, Ye L, Zhu Y, Zhou XJ, Chen YX, Li GH. Clinical evaluation of endoscopic resection for treatment of large gastric stromal tumors. World J Clin Cases 2019; 7(7): 830-838 [PMID: 31024954 DOI: 10.12998/wjcc.v7.i7.830]
Corresponding Author of This Article
Guo-Hua Li, PhD, Doctor, Professor, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, No. 17, Yongwaizheng Street, Donghu District, Nanchang 330006, Jiangxi Province, China. 516360169@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Table 2 Data for gastric stromal tumors of different volumes
Maximum diameter of the tumor
Pathological grade (n)
Targeted drugs (n)
Recurrence or metastasis (n)
Endoscopy
Surgery
Endoscopy
Surgery
Endoscopy
Surgery
< 27 cm3
Low risk
24
39
0/24
1/24
1/24
0/26
Moderate risk
1
2
0/1
2/2
0/1
0/2
High risk
0
0
0
0
0
0
27-125cm3
Low risk
10
64
0/10
4/52
1/10
1/52
Moderate risk
2
34
0/2
20/28
0/2
1/28
High risk
0
7
0
5/6
0
2/6
125-1000 cm3
Low risk
0
0
0
0
0
0
Moderate risk
0
39
0
20/26
0
0/26
High risk
0
24
0
18/21
0
2/21
≥ 1000 cm3
Low risk
0
0
0
0
0
0
Moderate risk
0
0
0
0
0
0
High risk
0
15
0
9/10
0
2/10
Total
261
37
224
0/37
79/171
2/37
8/171
P-value
cP < 0.05
bP < 0.01
0.693
Table 3 Characteristics of preoperative examination of gastric stromal tumors with different pathological grades
Pathological grade
Tumor volume
Ulcer bleeding
Liquefaction
None1
Both2
Low risk
< 27 cm3 (63)
11/49
1/49
36/49
1/49
27-125cm3 (74)
18/48
10/48
19/48
1/48
125-1000 cm3 (0)
0
0
0
0
≥ 1000 cm3 (0)
0
0
0
0
Moderate risk
< 27 cm3 (3)
1/3
0/3
2/3
0/3
27-125cm3 (36)
17/28
7/28
2/28
2/28
125-1000 cm3 (39)
5/19
3/19
7/19
4/19
≥ 1000 cm3 (0)
0
0
0
0
High risk (46)
< 27 cm3 (0)
0
0
0
0
27-125cm3 (7)
1/5
0/5
1/5
3/5
125-1000 cm3 (24)
6/14
0/14
1/14
7/14
≥ 1000 cm3 (15)
0/2
0/2
0/2
2/2
P-value
1.15
0.62
eP < 0.05
dP < 0.01
Table 4 Clinical data for 10 patients with recurrence
Surgical method
Maximum diameter
Volume
Pathological grade
Operation data
Follow-up time (mo)
Medication time (mo)
Liquefaction
Ulcer bleeding
Endoscopy group
5
37.5
Low risk
2012/3/26
41
No
No
No
3
18.75
Low risk
2017/10/27
6
No
No
No
Surgery group
5
56.25
Low risk
2014/12/9
34
No
No
Yes
4
40
Moderate risk
2017/2/11
17
No
Yes
No
7
147
High risk
2015/1/14
12
12
No
Yes
7.5
56.25
High risk
2016/6/1
21
21
Yes
Unknown
8
96
High risk
2017/12/1
6
6
Yes
Yes
14
700
High risk
2015/8/7
35
No
Yes
Yes
18.5
1572.5
High risk
2015/4/17
24
18
Yes
Unknown
20
3840
High risk
2016/2/23
11
6
Yes
Unknown
Citation: Xiang YY, Li YY, Ye L, Zhu Y, Zhou XJ, Chen YX, Li GH. Clinical evaluation of endoscopic resection for treatment of large gastric stromal tumors. World J Clin Cases 2019; 7(7): 830-838