胃腸道基質腫瘤[編輯]
外觀
胃腸道基質腫瘤 | |
---|---|
胃部胃腸道基質腫瘤之組織病理影像(以蘇木精伊紅著色顯示) | |
類型 | Stromal tumor[*]、rare genetic intestinal disease[*]、inherited digestive tract tumor[*]、mesenchymal tumor of small intestine[*]、胃腸癌 |
分類和外部資源 | |
醫學專科 | 腫瘤學 |
ICD-10 | D37 |
ICD-O | M8936/0 - M8936/3 |
OMIM | 606764 |
DiseasesDB | 33849 |
MeSH | D046152 |
Orphanet | 44890 |
胃腸道基質腫瘤(Gastrointestinal stromal tumor,簡稱GISTs),為最常見的消化道間質腫瘤。GIST源自於卡氏間質細胞等平滑肌節律細胞[1]。本疾病一般是因為KIT基因突變所致(85%)[1],少數則由PDGFRA(10%)[1]、BRAF激酶基因突變引起[1]。95%的GIST在c-Kit(CD117)免疫染色下會呈陽性[1][2]。腫瘤最常見於胃部(66%),但源發於胃部的GIST一般相較於源發於消化道以外的GIST,惡性度會較低[2]。GIST的影響範圍不限定於腸道,而可以遍及食道、胃、小腸、大腸及直腸;而隨著GIST在消化道的不同部位發生,病者亦會出現不同的病徵[3]。
參考文獻
[編輯]- ^ 移至: 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.
- ^ 移至: 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.
- ^ 朱建華,(2007年),〈腸話短說:認識胃腸道基質腫瘤〉,《都市日報》2007年11月23日號,P.34 健康。
外部連結
[編輯]醫學研究連結
[編輯]- American Society of Clinical Oncology[永久失效連結] "Other Gastrointestinal Cancer" Abstracts (2005)
病患導向之網站
[編輯]- GIST Support International (頁面存檔備份,存於網際網路檔案館), 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 (頁面存檔備份,存於網際網路檔案館) Patient links, includes information on new clinical trials and research
- American Cancer Society Patient Guide to GIST tumors.
- GIST 胃腸不可Blog