Table 1. Clinical data and tumour characteristics at the time of initial diagnosis and imatinib induction, and response to imatinib in 17 patients with malignant GIST.
Status at initial diagnosis |
Status at imatinib induction |
Imatinib treatment |
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Case | Age/sex | 1° tumour site and size (cm) | Ki67%/MR | Exon 11 KIT mutation | Mets at initial diag. | Number previous surgeries | Interval: 1° tumour diag to imatinib (months) | Disease status | Clinical setting | FU (months) | Response CT eval. | Response PET eval. | Side effects |
1 | 56/M | SB/20 | 10%/2–5 | W557R | L | None | 3 | PT, P, L | Neoadjuvant | 10 | PR | No residual uptake | None |
2 | 48/M | R/9 | 10%/2–5 | K558_V560del | None | 1 | 1.5 | NEDa | Adjuvant | 13 | NED | No uptake | None |
3 | 55/M | R/4.5 | 5%/<2 | W557M | None | 2 | 180 | NEDb | Adjuvant | 12 | NED | Not done | None |
4 | 10/F | S/3.5 | 5%c/2–5 | None | None | 5 | 144 | NEDd | Adjuvant | 9.5 | NED | No uptake | Oedema grade 2 |
5 | 74/M | D/11 | 15%/6–10 | None | None | 2 | 22 | P, L | Palliative | 13 | PD | Additional uptake | Oedema grade 1 |
6 | 70/M | D/25 | 25%/6–10 | None | L | 1 | 1 | PT, L | Palliative | 9 | PD | Not done | None |
7 | 47/M | SB/29 | 30%/>10 | W557_E561del | P | 1 | 7 | PT, P, L | Palliative | 14.5 | PR | No residual uptake | None |
8 | 63/M | SB/15 | 50%/2–5 | None | P, L | 2 | 3 | P, L | Palliative | 9 | PR | Decreased uptake | None |
9 | 70/M | SB/16 | 20%/>10 | V559_E561del | P, L | 3 | 14 | P, L | Palliative | 18 | PR | Not done | None |
10 | 72/M | SB/12 | 10%/>10 | N564_L576del | P, L | 1 | 3 | P, L | Palliative | 9.5 | PR | Not done | None |
11 | 53/M | SB/6 | 10%/>10 | P551del,M552L | L | 1 | 4 | L | Palliative | 14.5 | PR | Not done | Oedema grade 2 |
12 | 62/M | SB/5 | 10%/>10 | None | None | 1 | 16 | Pu | Palliative | 9 | SD | Not done | None |
13 | 56/M | D/6 | 5%/6–10 | K558_V559del, V560I | None | 5 | 84 | P, L | Palliative | 12.5 | PR | Not done | Oedema grade 1 |
14 | 68/F | SB/10 | 10%/6–10 | V559del | None | 2 | 12 | L | Palliative | 6 | PR | No residual uptake | None |
15 | 36/M | SB/10 | 5%/2–5 | W557_K558del | P | 1 | 4 | NED | Adjuvant | 7 | NED | No uptake | None |
16 | 62/M | R/15 | 15%/6–10 | P551_E554del | None | 1 | 2 | NEDa | Adjuvant | 7 | NED | No uptake | None |
17 | 74/M | R/30 | 25%/>10 | K558S,V559del | P | 1 | 9 | P | Palliative | 8 | PR | No residual uptake | None |
D=duodenum; del=deletion; diag.=diagnosis; eval.=evaluation; F=female; FU=follow-up; L=liver mets; M=male; mets=metastases; MR=mitotic rate (mitoses/50 h.p.f.); NED=no evidence of disease; P=peritoneal mets; PD=progressive disease (>20% increase in the greatest diameter of the target lesion or appearance of one or more new lesions); PR=partial response (>30% decrease in the greatest diameter of target lesion); PT=primary tumour; Pu=pulmonary mets; R=rectum; S=stomach; SB=small bowel; SD=stable disease; 1°=primary;
Resection of primary rectal GIST with intralesional margins.
Resection of local recurrence with intralesional margins.
Focally 25% of cells positive for Ki67.
After five surgical procedures for peritoneal mets and liver mets.