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Certain gastrointestinal tumors associated with higher mortality

Date:
April 5, 2016
Source:
University of California - San Diego
Summary:
Certain gastrointestinal stromal tumors are more deadly than previously reported in medical literature, researchers have found, adding that further studies are needed to develop novel risk assessments for patients with these small tumors, to determine appropriate indications for surgery and/or medical therapy.
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Researchers at University of California, San Diego School of Medicine have determined that certain gastrointestinal stromal tumors (GISTs) are more deadly than previously reported in medical literature. Findings are published online in the Journal of Gastrointestinal Surgery.

"While GISTs are rare, we have found that certain groups of these tumors result in a much higher mortality than expected," said Jason Sicklick, MD, assistant professor of surgery at UC San Diego School of Medicine and a surgical oncologist at UC San Diego Health. "The 5-year mortality rate for malignant GISTs of less than 2 centimeters is 12.1 percent. This finding may be helpful in creating new guidelines for the treatment of these tumors."

GISTs are most commonly found in the stomach and small intestine and have significant variability in terms of size and malignant behavior. Sicklick noted that up to 30 percent of patients have GISTs less than 2 centimeters in size, or slightly more than one-half inch. More than 79 percent of patients have localized disease, while 11.4 percent have regional or distant metastatic disease. Previously, researchers did not expect any disease to have spread.

"For this study, we identified 378 patients with malignant GISTs of less than 2 cm between 2001 and 2011 from the SEER database," said Taylor M. Coe, first author and fourth-year medical student at UC San Diego School of Medicine. "While the distribution of disease was almost equal between men and women, African-Americans are 2.1 times more likely than Caucasians to develop GISTs. The reasons are unknown and need to be further evaluated."

Sicklick added that further studies are needed to develop novel risk assessments for patients with these small tumors and to determine appropriate indications for surgery and/or medical therapy.


Story Source:

Materials provided by University of California - San Diego. Note: Content may be edited for style and length.


Journal Reference:

  1. Taylor M. Coe, Katherine E. Fero, Paul T. Fanta, Robert J. Mallory, Chih-Min Tang, James D. Murphy, Jason K. Sicklick. Population-Based Epidemiology and Mortality of Small Malignant Gastrointestinal Stromal Tumors in the USA. Journal of Gastrointestinal Surgery, 2016; DOI: 10.1007/s11605-016-3134-y

Cite This Page:

University of California - San Diego. "Certain gastrointestinal tumors associated with higher mortality." ScienceDaily. ScienceDaily, 5 April 2016. <www.sciencedaily.com/releases/2016/04/160405161342.htm>.
University of California - San Diego. (2016, April 5). Certain gastrointestinal tumors associated with higher mortality. ScienceDaily. Retrieved May 23, 2017 from www.sciencedaily.com/releases/2016/04/160405161342.htm
University of California - San Diego. "Certain gastrointestinal tumors associated with higher mortality." ScienceDaily. www.sciencedaily.com/releases/2016/04/160405161342.htm (accessed May 23, 2017).

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