Appropriate Follow-Up Strategies for Gastrointestinal Stromal Tumor Patients Based on the Analysis of Recurrent Interval and Patterns

Noriko Wada, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Toru Masuzawa, Rie Nakatsuka, Junji Kawada, Toshirou Nishida, Yutaka Kimura, Kouji Tanaka, Yasuhiro Miyazaki, Tomoki Makino, Makoto Yamasaki, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/Aims: Previous studies have proposed risk classifications for patients with gastrointestinal stromal tumor (GIST) after resection and have contributed to the prediction of its prognosis. However, optimal postoperative surveillance has not yet been established. Methods: We retrospectively analyzed data from 115 GIST patients who experienced recurrence after complete resection. The relationships between clinicopathological characteristics and the first recurrence sites, or time to recurrence (TTR), were investigated. We also compared the characteristics between 2 subgroups based on a TTR of ≤5 or >5 years. Results: The first recurrence occurred in the abdomen in 114 of 115 patients (99.1%); one case of esophageal GIST recurred in the lung. Gastric and small intestinal GISTs recurred most frequently in the liver or peritoneum, while the most common recurrences of colorectal GISTs were found to be local. Fourteen patients (12.2%) experienced recurrence after >5 years. Smaller tumors and those categorized as lower risk were significantly more frequent in the TTR >5 years group than in the TTR ≤5 years group. In the TTR >5 years group, local recurrence was the most frequent type of recurrence (42.9%). Conclusion: Based on abdominal examination, postoperative surveillance after complete resection for primary GISTs may be recommended for >5 years.

Original languageEnglish
Pages (from-to)115-121
Number of pages7
JournalDigestion
Volume95
Issue number2
DOIs
Publication statusPublished - Mar 1 2017

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Gastrointestinal Stromal Tumors
Recurrence
Peritoneum
Abdomen
Stomach

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Wada, N., Takahashi, T., Kurokawa, Y., Nakajima, K., Masuzawa, T., Nakatsuka, R., ... Doki, Y. (2017). Appropriate Follow-Up Strategies for Gastrointestinal Stromal Tumor Patients Based on the Analysis of Recurrent Interval and Patterns. Digestion, 95(2), 115-121. https://doi.org/10.1159/000452656

Appropriate Follow-Up Strategies for Gastrointestinal Stromal Tumor Patients Based on the Analysis of Recurrent Interval and Patterns. / Wada, Noriko; Takahashi, Tsuyoshi; Kurokawa, Yukinori; Nakajima, Kiyokazu; Masuzawa, Toru; Nakatsuka, Rie; Kawada, Junji; Nishida, Toshirou; Kimura, Yutaka; Tanaka, Kouji; Miyazaki, Yasuhiro; Makino, Tomoki; Yamasaki, Makoto; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro.

In: Digestion, Vol. 95, No. 2, 01.03.2017, p. 115-121.

Research output: Contribution to journalArticle

Wada, N, Takahashi, T, Kurokawa, Y, Nakajima, K, Masuzawa, T, Nakatsuka, R, Kawada, J, Nishida, T, Kimura, Y, Tanaka, K, Miyazaki, Y, Makino, T, Yamasaki, M, Takiguchi, S, Mori, M & Doki, Y 2017, 'Appropriate Follow-Up Strategies for Gastrointestinal Stromal Tumor Patients Based on the Analysis of Recurrent Interval and Patterns', Digestion, vol. 95, no. 2, pp. 115-121. https://doi.org/10.1159/000452656
Wada, Noriko ; Takahashi, Tsuyoshi ; Kurokawa, Yukinori ; Nakajima, Kiyokazu ; Masuzawa, Toru ; Nakatsuka, Rie ; Kawada, Junji ; Nishida, Toshirou ; Kimura, Yutaka ; Tanaka, Kouji ; Miyazaki, Yasuhiro ; Makino, Tomoki ; Yamasaki, Makoto ; Takiguchi, Shuji ; Mori, Masaki ; Doki, Yuichiro. / Appropriate Follow-Up Strategies for Gastrointestinal Stromal Tumor Patients Based on the Analysis of Recurrent Interval and Patterns. In: Digestion. 2017 ; Vol. 95, No. 2. pp. 115-121.
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abstract = "Background/Aims: Previous studies have proposed risk classifications for patients with gastrointestinal stromal tumor (GIST) after resection and have contributed to the prediction of its prognosis. However, optimal postoperative surveillance has not yet been established. Methods: We retrospectively analyzed data from 115 GIST patients who experienced recurrence after complete resection. The relationships between clinicopathological characteristics and the first recurrence sites, or time to recurrence (TTR), were investigated. We also compared the characteristics between 2 subgroups based on a TTR of ≤5 or >5 years. Results: The first recurrence occurred in the abdomen in 114 of 115 patients (99.1{\%}); one case of esophageal GIST recurred in the lung. Gastric and small intestinal GISTs recurred most frequently in the liver or peritoneum, while the most common recurrences of colorectal GISTs were found to be local. Fourteen patients (12.2{\%}) experienced recurrence after >5 years. Smaller tumors and those categorized as lower risk were significantly more frequent in the TTR >5 years group than in the TTR ≤5 years group. In the TTR >5 years group, local recurrence was the most frequent type of recurrence (42.9{\%}). Conclusion: Based on abdominal examination, postoperative surveillance after complete resection for primary GISTs may be recommended for >5 years.",
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AU - Nakajima, Kiyokazu

AU - Masuzawa, Toru

AU - Nakatsuka, Rie

AU - Kawada, Junji

AU - Nishida, Toshirou

AU - Kimura, Yutaka

AU - Tanaka, Kouji

AU - Miyazaki, Yasuhiro

AU - Makino, Tomoki

AU - Yamasaki, Makoto

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AU - Mori, Masaki

AU - Doki, Yuichiro

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N2 - Background/Aims: Previous studies have proposed risk classifications for patients with gastrointestinal stromal tumor (GIST) after resection and have contributed to the prediction of its prognosis. However, optimal postoperative surveillance has not yet been established. Methods: We retrospectively analyzed data from 115 GIST patients who experienced recurrence after complete resection. The relationships between clinicopathological characteristics and the first recurrence sites, or time to recurrence (TTR), were investigated. We also compared the characteristics between 2 subgroups based on a TTR of ≤5 or >5 years. Results: The first recurrence occurred in the abdomen in 114 of 115 patients (99.1%); one case of esophageal GIST recurred in the lung. Gastric and small intestinal GISTs recurred most frequently in the liver or peritoneum, while the most common recurrences of colorectal GISTs were found to be local. Fourteen patients (12.2%) experienced recurrence after >5 years. Smaller tumors and those categorized as lower risk were significantly more frequent in the TTR >5 years group than in the TTR ≤5 years group. In the TTR >5 years group, local recurrence was the most frequent type of recurrence (42.9%). Conclusion: Based on abdominal examination, postoperative surveillance after complete resection for primary GISTs may be recommended for >5 years.

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