Cancer Res Treat.  2016 Oct;48(4):1155-1166. 10.4143/crt.2016.187.

Asian Consensus Guidelines for the Diagnosis and Management of Gastrointestinal Stromal Tumor

Affiliations
  • 1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Korean GIST Study Group, Seoul, Korea. ykkang@amc.seoul.kr
  • 3Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 5Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • 6Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
  • 7Japanese GIST Subcommittee, Nishinomiya, Japan. tnishida@east.ncc.go.jp
  • 8Department of Pathology, Hyogo College of Medicine, Nishinomiya, Japan.
  • 9Department of Pathology, Peking University Third Hospital, Beijing, China.
  • 10Chinese Expert Committee on GIST, Sichuan, China. lin100@medmail.com.cn
  • 11Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Sichuan, China.
  • 12Department of Pathology and Laboratory Medicine, Cathay General Hospital, Taipei, Taiwan.
  • 13Department of Surgery, Chang Gung Memorial Hospital and University, Taoyuan, Taiwan.
  • 14Department of Surgery, National Cancer Center Hospital East, Chiba, Japan.
  • 15Department of Gastrointestinal Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
  • 16National Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan. leochen@nhri.org.tw
  • 17Department of Internal Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.

Abstract

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors originating in the gastrointestinal tract. With the introduction of molecular-targeted therapy for GISTs which has yielded remarkable outcomes, these tumors have become a model of multidisciplinary oncological treatment. Although Western clinical guidelines are available for GISTs, such as those published by the National Comprehensive Cancer Network (NCCN) and the European Society of Medical Oncology (ESMO), the clinical situations in Asian countries are different from those in Western countries in terms of diagnostic methods, surgical approach, and availability of new targeted agents. Accordingly, we have reviewed current versions of several GIST guidelines published by Asian countries (Japan, Korea, China, and Taiwan) and the NCCN and ESMO and discussed the areas of dissensus. We here present the first version of the Asian GIST consensus guidelines that were prepared through a series of meetings involving multidisciplinary experts in the four countries. These guidelines provide an optimal approach to the diagnosis and management of GIST patients in Asian countries.

Keyword

Guideline; Gastrointestinal stromal tumors; Imatinib mesylate; Sunitinib; Regorafenib

MeSH Terms

Asian Continental Ancestry Group*
China
Consensus*
Diagnosis*
Gastrointestinal Stromal Tumors*
Gastrointestinal Tract
Humans
Imatinib Mesylate
Korea
Medical Oncology
Imatinib Mesylate

Figure

  • Fig. 1. Algorithm for the diagnosis of gastrointestinal stromal tumor (GIST). IHC, immunohistochemistry.


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