Surgery of gastrointestinal stromal tumor of the duodenum
10.3760/cma.j.issn.1007-631X.2014.03.008
- VernacularTitle:十二指肠间质瘤的外科治疗
- Author:
Wei LIU
;
Baocai XING
;
Kun WANG
- Publication Type:Journal Article
- Keywords:
Gastrointestinal stromal tumors;
Pancreaticoduodenectomy;
Local resection
- From:
Chinese Journal of General Surgery
2014;29(3):188-191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the results of surgical treatment for duodenal gastrointestinal stromal tumor (GIST).Methods Between January 2000 and January 2013,33 patients underwent surgical resection of duodenal GIST in Peking University Cancer Hospital,including local resection and pancreatoduodenectomy.Clinical data,surgical outcome and prognosis were reviewed.Results The median survival time is 94 months (range:55-132 months).The 1,3,5-year survival rates are 97%,89% and 80%,respectively.The 5 year survival rate of patients after pancreatoduodenectomy and local resection is 78% and 83%,respectively (P =0.091).It shows that tumor size and mitotic count and Fletcher classification influence overall survival.Conclusions When fulfiling proper safe margins,local resection is a reliable and curative option for most duodenal GISTs.