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.