中国实用外科杂志

• 述评 •    下一篇

胃肠间质瘤综合诊治中若干焦点问题思考

曹    晖,汪    明   

  1. 上海交通大学医学院附属仁济医院胃肠外科,上海200127
  • 出版日期:2018-05-01 发布日期:2018-04-27

  • Online:2018-05-01 Published:2018-04-27

摘要:

胃肠间质瘤(GIST)是胃肠道最常见的间叶来源肿瘤,酪氨酸激酶受体抑制剂伊马替尼用于晚期GIST的治疗取得了卓越的疗效,因此,GIST成为实体肿瘤靶向药物治疗最成功的范例。随着对GIST关注度提高和研究的日益深入,GIST综合诊治相关领域的焦点问题也逐渐浮现出来,这些问题涵盖GIST的诊断、手术治疗、药物治疗及转化研究等各个方面。在精准医疗时代,如何聚焦GIST综合诊治的焦点问题开展规范化、标准化、个体化、精准化的临床综合诊治,同时开展设计严谨、跨学科合作、多中心的科学研究,值得探索和思考。

关键词: 胃肠间质瘤, 外科手术, 靶向治疗

Abstract:

Discussion on some concerned foci in the comprehensive diagnosis and treatment of gastrointestinal stromal tumors        CAO Hui, WANG Ming. Department of Gastrointestinal Surgery, Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China
Corresponding author:CAO Hui, E-mail:caohuishcn@hotmail.com
Abstract    Gastrointestinal stromal tumor is the most common mesenchymal tumor in the gastrointestinal tract. The tyrosine kinase receptor inhibitor, imatinib mesylate, has been used for the standard treatment of advanced GIST, which has achieved remarkable results. Thus, GIST has become the most successful example of target therapy for solid tumors. With the improving recognition of GIST and the deepening of research, the focus issues in the field of comprehensive diagnosis and treatment of GIST are also emerging. The problems cover all aspects of GIST diagnosis, surgical treatment, drug therapy and transformation research. In the era of precision medicine, it is worth exploring that how to focus on the key points of GIST comprehensive diagnosis and treatment, to carry out standardized, individualized and precise clinical practice, and to design interdisciplinary cooperation and multi-center scientific research as well.

Key words: gastrointestinal stromal tumor, surgical procedure, target therapy