닫기
3.145.20.182
3.145.20.182
close menu
}
KCI 등재 SCIE SCOPUS
Prediction of Risk of Malignancy of Gastrointestinal Stromal Tumors by Endoscopic Ultrasonography
( Mi Na Kim ) , ( Seung Joo Kang ) , ( Sang Gyun Kim ) , ( Jong Pil Im ) , ( Joo Sung Kim ) , ( Hyun Chae Jung ) , ( In Sung Song )
Gut and Liver 7권 6호 642-647(6pages)
UCI I410-ECN-0102-2014-500-001903637
* 발행 기관의 요청으로 구매가 불가능한 자료입니다.

Background/Aims: The accurate preoperative prediction of the risk of malignancy of gastrointestinal stromal tumors (GISTs) is difficult. The aim of this study was to determine whether tumor size and endoscopic ultrasonography (EUS) features can preoperatively predict the risk of malignancy of medium-sized gastric GISTs. Methods: Surgically resected, 2 to 5 cm gastric GIST patients were enrolled and retrospec-tively reviewed. EUS features, such as heterogeneity, hyper-echoic foci, calcification, cystic change, hypoechoic foci, lobu-lation, and ulceration, were evaluated. Tumors were grouped in 1 cm intervals. The correlations of tumor size or EUS fea-tures with the risk of malignancy were evaluated. Results: A total of 75 patients were enrolled. The mean tumor size was 3.43±0.92 cm. Regarding the risk of malignancy, 51 tumors (68%) had a very low risk, and 24 tumors (32%) had a mod-erate risk. When the tumors were divided into three groups in 1 cm intervals, the proportions of tumors with a moderate risk were not different between the groups. The preoperative EUS features also did not differ between the very low risk and the moderate risk groups. Conclusions: Tumor size and EUS features cannot be used to preoperatively predict the risk of malignancy of medium-sized gastric GISTs. A preop-erative diagnostic modality for predicting risk of malignancy is necessary to prevent the overtreatment of GISTs with a low risk of malignancy. (Gut Liver 2013;7:642-647)

[자료제공 : 네이버학술정보]
×