Residual and recurrent gastrointestinal stromal tumors with KIT mutations: findings at first follow-up CT after imatinib treatment

AJR Am J Roentgenol. 2009 Aug;193(2):W100-5. doi: 10.2214/AJR.08.2106.

Abstract

Objective: The purpose of this study was to correlate findings on the first follow-up CT after treatment with imatinib in patients with residual or recurrent gastrointestinal stromal tumors (GISTs) with the different types of KIT mutation present at initial resection.

Conclusion: Residual and recurrent GISTs with KIT mutation of exon 11 deletion more frequently showed both tumor shrinkage and cystic change on 2-month follow-up CT images after the start of imatinib treatment than did other mutation types.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Benzamides
  • Female
  • Follow-Up Studies
  • Gastrointestinal Stromal Tumors / diagnostic imaging*
  • Gastrointestinal Stromal Tumors / drug therapy
  • Gastrointestinal Stromal Tumors / genetics*
  • Humans
  • Imatinib Mesylate
  • Liver Neoplasms / secondary
  • Lung Neoplasms / secondary
  • Male
  • Middle Aged
  • Mutation
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Neoplasm Seeding
  • Neoplasm, Residual / diagnostic imaging*
  • Peptide Fragments / therapeutic use
  • Piperazines / therapeutic use
  • Proto-Oncogene Proteins c-kit / genetics
  • Pyrimidines / therapeutic use
  • Receptor, Platelet-Derived Growth Factor alpha / genetics
  • Retrospective Studies
  • Splenic Neoplasms / secondary
  • Tomography, X-Ray Computed

Substances

  • Benzamides
  • Peptide Fragments
  • Piperazines
  • Pyrimidines
  • protein kinase inhibitor peptide (5-24)
  • Imatinib Mesylate
  • Proto-Oncogene Proteins c-kit
  • Receptor, Platelet-Derived Growth Factor alpha