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. 2021 Jan 28;11(2):194. doi: 10.3390/diagnostics11020194

Table 2.

Anatomic distribution, frequency and treatment response of the most common GISTs groups.

Genetic Type Frequency Anatomic Location Treatment
KIT mutations
Exon 8 <0.1%
Exon 9 6% small & large bowel Imatinib sensitiv (800 mg/d)
Exon 11 66% all locations Imatinib sensitive
Exon 13 1% all locations usually secondary mutation resistant to imatinib, responds to sunitinib
Exon 17 <1% all locations secondary mutation resistant to imatinib and sunitinib; have been shown to respond to other TKI like regorafenib
PDGFRA mutations
Exon 12 1% all locations
Exon 14 <1% stomach Imatinib sensitiv
Exon 18 D842V 6% stomach Imatinib/sunitinib resistant; good respons to avapritinib
Exon 18 others 1% all locations response to imatinib reported
KIT/PDGFRAwild-type Limited responses to imatinib
Possible response to other TKIs (limited data)
SDHB IHC+/SDH-competent NF1 mutation (assoc. with RD) <1% small bowel
NRAS/HRAS/KRAS mutations <1% all locations (limited data)
BRAF mutation 1% most commonly stomach
Other rare mutations/fusions all locations
(limited data)
SDHB IHC−/SDH-deficient SDHA/B/C/D mutations (CSS) 2% stomach
Part of the CT * 1% stomach
SDHA mutation (young adults) stomach
Sporadic pediatric wt- GIST 1% stomach

Legend: CSS: Carney–Stratakis Syndrome; CT: Carney triad; *: most cases show promotor hypermethylation.