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. Author manuscript; available in PMC: 2022 May 17.
Published in final edited form as: Am Soc Clin Oncol Educ Book. 2022 Apr;42:1–15. doi: 10.1200/EDBK_351231

TABLE 1.

Overview of the Armed Forces Institute of Pathology19 Criteria for Risk Assessment in Gastrointestinal Stromal Tumor

Tumor Group Tumor Size (cm) Tumor Mitotic Rate (per 50 HPFs) Risk of Progressive Disease (%)*
Gastric GISTs Jejunal and Ileal GISTs Duodenal GISTs Rectal GISTs
1 ≤ 2 ≤ 5 0 (none) 0 (none) 0 (none) 0 (none)
2 > 2 to ≤ 5 ≤ 5 1.9 (very low) 4.3 (low) 8.3 (low) 8.5 (low)
3a > 5 to ≤ 10 ≤ 5 3.6 (low) 25 (moderate) 34 (high**) 57 (high**)
3b > 10 ≤ 5 12 (moderate) 52 (high)
4 ≤ 2 > 5 0 50 54 (high)
5 > 2 to ≤ 5 > 5 16 (moderate) 73 (high) 50 (high) 52 (high)
6a > 5 to ≤ 10 > 5 55 (high) 85 (high) 86 (high**) 71 (high**)
6b >10 > 5 86 (high) 90 (high)

Abbreviations: HPF, high-power field; GIST, gastrointestinal stromal tumor.

*

GIST data are presented for patients with progressive disease during long-term follow-up and characterization of risk for metastasis.

**

Combined groups because of the small number of cases.

Small number of cases.

No tumors of such category included.