Surgical margin status and prognosis of gastrointestinal stromal tumor.

Abstract:

BACKGROUND:Surgery is the best treatment for primary GIST and may be curative, but resection extension/completeness impact on the prognosis remains controversial. The authors aim was to evaluate the clinicopathological (CP) parameters and surgical margins status influence on GIST patients' outcome. MATERIALS AND METHODS:The study evaluated 113 consecutive patients with sporadic GIST; the influence of CP parameters on recurrence-free survival (RFS) and disease-specific survival (DSS) was determined by univariate analysis (UA) and multivariate analysis (MA). RESULTS:Of 104 cases, macroscopically complete resection was achieved in 96: R0 surgical margin status in 78 and R1 in 18. Recurrence rates (12.5%) were significantly lower in R0 (9.0%) than in R1 (27.8%). Tumor > 10 cm, mitotic count > 5/50 high power field (HPF), and high-risk GIST predicted poor RFS and DSS (UA). Disease-specific survival was significantly shorter after macroscopic incomplete (R2) resection, for mixed cellular morphology, and in tumors with necrosis (UA). High-risk GIST (p = 0.016) and R2 resection (p = 0.013) predicted poor DSS of patients (MA). CONCLUSIONS:High risk and positive macroscopic surgical margin status are parameters associated with poor disease-specific survival in GIST patients.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Gouveia AM,Pimenta AP,Capelinha AF,de la Cruz D,Silva P,Lopes JM

doi

10.1007/s00268-008-9704-8

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

2375-82

issue

11

eissn

0364-2313

issn

1432-2323

journal_volume

32

pub_type

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