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Prevalence, diagnosis, and treatment of primary hepatic gastrointestinal stromal tumors

World Journal of Gastroenterology 2020年第40期26卷 6195-6206页

作者： Xiao-Hui Qian Ying-Cai Yan Bing-Qiang Gao Wei-Lin Wang Department of Hepatobiliary and Pancreatic Surgery The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic tumor of Zhejiang Province Hangzhou 310009Zhejiang ProvinceChina Research Center of Diagnosis and Treatment Technology for Hepatocellular Carcinoma of Zhejiang Province Hangzhou 310009Zhejiang ProvinceChina Clinical Medicine Innovation Center of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Disease of Zhejiang University Hangzhou 310009Zhejiang ProvinceChina Clinical Research Center of Hepatobiliary and Pancreatic Diseases of Zhejiang Province Hangzhou 310009Zhejiang ProvinceChina

gastrointestinal stromal tumors(GIST), which is the most common mesenchymal tumor of the digestive tract, account for 1%-3% of gastrointestinal tumors. Primary stromal tumors outside the gastrointestinal tract are collectively referred to as extra GISTs, and stromal tumors in different regions often have different prognoses. A primary hepatic GIST is a rare tumor with an unknown origin, which may be related to interstitial Cajal-like cells. Although primary hepatic GIST has certain characteristics on imaging, it lacks specific symptoms and signs;thus, the final diagnosis depends on pathological and genetic evidence. This review summarizes all cases of primary hepatic GIST described in the literature and comprehensively analyzes the detailed clinical data of all patients. In terms of treatment, local resection alone or with adjuvant therapy was the prioritized choice to obtain better disease-free survival and longer survival time. For advanced unresectable cases, imatinib mesylate was applied as the first-line chemotherapy agent. Moreover, transcatheter arterial chemoembolization,/by-nc/4.0/Manuscript source: Unsolicited manuscript radiofrequency ablation, and microwave ablation were shown to improve overall survival for selected patients. Liver transplantation was a final treatment option after resistance to chemotherapy developed.

关键词： extra gastrointestinal stromal tumor Treatment Liver transplant Review

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