胃肠道基质肿瘤
胃肠道基质肿瘤（Gastrointestinal stromal tumor，简称GISTs），为最常见的消化道间质肿瘤。GIST源自于卡氏间质细胞等平滑肌节律细胞[1]。本疾病一般是因为KIT基因突变所致（85%）[1]，少数则由PDGFRA（10%）[1]、BRAF激酶基因突变引起[1]。95%的GIST在c-Kit（CD117）免疫染色下会呈阳性[1][2]。肿瘤最常见于胃部（66%），但源发于胃部的GIST一般相较于源发于消化道以外的GIST，恶性度会较低[2]。GIST的影响范围不限定于肠道，而可以遍及食道、胃、小肠、大肠及直肠；而随着GIST在消化道的不同部位发生，病者亦会出现不同的病征[3]。
| 胃肠道基质肿瘤 | |
|---|---|
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| 胃部胃肠道基质肿瘤之组织病理影像（以苏木精伊红着色显示） | |
| 类型 | Stromal tumor[*]、rare genetic intestinal disease[*]、inherited digestive tract tumor[*]、mesenchymal tumor of small intestine[*]、胃肠癌 |
| 分类和外部资源 | |
| 医学专科 | 肿瘤学 |
| ICD-10 | D37 |
| ICD-O | M8936/0 - M8936/3 |
| OMIM | 606764 |
| DiseasesDB | 33849 |
| MeSH | D046152 |
| Orphanet | 44890 |
参考文献
- ^ 1.0 1.1 1.2 1.3 1.4 Demetri, G., chapter author; DeVita, L; Lawrence, TS; Rosenberg, SA., editors. Chapter 87. DeVita, Hellman, and Rosenberg's Cancer: Principles and Practice of Oncology 9th. 2011. ISBN 978-1-4511-0545-2.
- ^ 2.0 2.1 Miettinen M, Lasota J. Gastrointestinal stromal tumors: review on morphology, molecular pathology, prognosis, and differential diagnosis. Arch Pathol Lab Med. 2006, 130 (10): 1466–78. PMID 17090188. doi:10.1043/1543-2165(2006)130[1466:GSTROM]2.0.CO;2.
- ^ 朱建华，(2007年)，〈肠话短说：认识胃肠道基质肿瘤〉，《都市日报》2007年11月23日号，P.34 健康。
外部链接
医学研究连结
- American Society of Clinical Oncology[永久失效链接] "Other Gastrointestinal Cancer" Abstracts (2005)
病患导向之网站
- GIST Support International （页面存档备份，存于互联网档案馆）, An international organization for the support of GIST patients, families, and friends. Includes detailed information from some of the foremost experts on GIST, links to research, treatment options, GIST registry, adult and pediatric listservs, and affiliated GSI-Wiki.
- Life Raft Group International GIST Advocacy Organization. Provides support to patients & families, through information, education, and innovative research.
- GIST Info （页面存档备份，存于互联网档案馆） Patient links, includes information on new clinical trials and research
- American Cancer Society Patient Guide to GIST tumors.
- GIST 胃肠不可Blog