Incidence of Gastrointestinal Stromal Tumor: A Retrospective Study Based on Immunohistochemical and Mutational Analyses
Identifieur interne : 000951 ( Pmc/Checkpoint ); précédent : 000950; suivant : 000952Incidence of Gastrointestinal Stromal Tumor: A Retrospective Study Based on Immunohistochemical and Mutational Analyses
Auteurs : Chi-Yuan Tzen [Taïwan] ; Jia-Hua Wang [Singapour] ; Ying-Jie Huang [Singapour] ; Man-Ning Wang [Taïwan] ; Pei-Chun Lin [Taïwan] ; Guan-Lin Lai [Taïwan] ; Chiao-Yun Wu [Taïwan] ; Chin-Yuan Tzen [Taïwan]Source :
- Digestive Diseases and Sciences [ 0163-2116 ] ; 2007.
Abstract
The aim of this study is to estimate the incidence of the gastrointestinal stromal tumor after the previous diagnoses were confirmed and/or revised by both immunohistochemical and mutational analyses. We reviewed 17,858 surgically excised gastrointestinal lesions in our hospital from 1998 to 2004. All mesenchymal tumors were examined for CD117 expression by immunohistochemistry, and every CD117-negative mesenchymal tumors were further subjected to mutational analysis for
Url:
DOI: 10.1007/s10620-006-9480-y
PubMed: 17253141
PubMed Central: 7087581
Affiliations:
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<series><title level="j">Digestive Diseases and Sciences</title>
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<front><div type="abstract" xml:lang="en"><p>The aim of this study is to estimate the incidence of the gastrointestinal stromal tumor after the previous diagnoses were confirmed and/or revised by both immunohistochemical and mutational analyses. We reviewed 17,858 surgically excised gastrointestinal lesions in our hospital from 1998 to 2004. All mesenchymal tumors were examined for CD117 expression by immunohistochemistry, and every CD117-negative mesenchymal tumors were further subjected to mutational analysis for <italic>KIT</italic>
and <italic>PDGFRA</italic>
exons. The results showed that approximately 35% of gastrointestinal stromal tumors were misdiagnosed if immunohistochemical analysis of CD117 expression was not performed; and approximately 15% misdiagnosed if mutation analysis was not available. Because approximately 4.72% of patients with gastrointestinal malignancies in Taiwan were treated in our hospital and the average of newly diagnosed gastrointestinal stromal tumors in our hospital was 14.33 cases per year, the estimated annual incidents of gastrointestinal stromal tumor in Taiwan were 303.60. Therefore, the annual incidence of gastrointestinal stromal tumor is 13.74 per million Taiwanese.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Dig Dis Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Dig. Dis. Sci</journal-id>
<journal-title-group><journal-title>Digestive Diseases and Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">0163-2116</issn>
<issn pub-type="epub">1573-2568</issn>
<publisher><publisher-name>Kluwer Academic Publishers-Plenum Publishers</publisher-name>
<publisher-loc>New York</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">17253141</article-id>
<article-id pub-id-type="pmc">7087581</article-id>
<article-id pub-id-type="publisher-id">9480</article-id>
<article-id pub-id-type="doi">10.1007/s10620-006-9480-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject>
</subj-group>
</article-categories>
<title-group><article-title>Incidence of Gastrointestinal Stromal Tumor: A Retrospective Study Based on Immunohistochemical and Mutational Analyses</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tzen</surname>
<given-names>Chi-Yuan</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Jia-Hua</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Huang</surname>
<given-names>Ying-Jie</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Man-Ning</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Pei-Chun</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lai</surname>
<given-names>Guan-Lin</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wu</surname>
<given-names>Chiao-Yun</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Tzen</surname>
<given-names>Chin-Yuan</given-names>
</name>
<address><email>jeffrey@ms2.mmh.org.tw</email>
</address>
<xref ref-type="aff" rid="Aff5">5</xref>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.413593.9</institution-id>
<institution-id institution-id-type="ISNI">000000040573007X</institution-id>
<institution>Department of Pathology,</institution>
<institution>Mackay Memorial Hospital,</institution>
</institution-wrap>
Taipei, Taiwan</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.413593.9</institution-id>
<institution-id institution-id-type="ISNI">000000040573007X</institution-id>
<institution>Medical Record,</institution>
<institution>Mackay Memorial Hospital,</institution>
</institution-wrap>
Taipei, Taiwan</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.413593.9</institution-id>
<institution-id institution-id-type="ISNI">000000040573007X</institution-id>
<institution>Department of Medical Research,</institution>
<institution>Mackay Memorial Hospital,</institution>
</institution-wrap>
Taipei, Taiwan</aff>
<aff id="Aff4"><label>4</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.410761.5</institution-id>
<institution>Asia Pacific,</institution>
<institution>Novartis (Singapore) Pte. Ltd.,</institution>
</institution-wrap>
Singapore, Singapore</aff>
<aff id="Aff5"><label>5</label>
45 Minsheng Road, Tamshui, Taipei, 251 Taiwan</aff>
</contrib-group>
<pub-date pub-type="epub"><day>26</day>
<month>1</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="ppub"><year>2007</year>
</pub-date>
<volume>52</volume>
<issue>3</issue>
<fpage>792</fpage>
<lpage>797</lpage>
<history><date date-type="received"><day>8</day>
<month>2</month>
<year>2006</year>
</date>
<date date-type="accepted"><day>11</day>
<month>6</month>
<year>2006</year>
</date>
</history>
<permissions><copyright-statement>© Springer Science+Business Media, Inc. 2006</copyright-statement>
<license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
<abstract id="Abs1"><p>The aim of this study is to estimate the incidence of the gastrointestinal stromal tumor after the previous diagnoses were confirmed and/or revised by both immunohistochemical and mutational analyses. We reviewed 17,858 surgically excised gastrointestinal lesions in our hospital from 1998 to 2004. All mesenchymal tumors were examined for CD117 expression by immunohistochemistry, and every CD117-negative mesenchymal tumors were further subjected to mutational analysis for <italic>KIT</italic>
and <italic>PDGFRA</italic>
exons. The results showed that approximately 35% of gastrointestinal stromal tumors were misdiagnosed if immunohistochemical analysis of CD117 expression was not performed; and approximately 15% misdiagnosed if mutation analysis was not available. Because approximately 4.72% of patients with gastrointestinal malignancies in Taiwan were treated in our hospital and the average of newly diagnosed gastrointestinal stromal tumors in our hospital was 14.33 cases per year, the estimated annual incidents of gastrointestinal stromal tumor in Taiwan were 303.60. Therefore, the annual incidence of gastrointestinal stromal tumor is 13.74 per million Taiwanese.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Gastrointestinal stromal tumor</kwd>
<kwd>Incidence</kwd>
<kwd>CD117</kwd>
<kwd>KIT</kwd>
<kwd>PDGFRA</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer Science+Business Media, LLC 2007</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Singapour</li>
<li>Taïwan</li>
</country>
</list>
<tree><country name="Taïwan"><noRegion><name sortKey="Tzen, Chi Yuan" sort="Tzen, Chi Yuan" uniqKey="Tzen C" first="Chi-Yuan" last="Tzen">Chi-Yuan Tzen</name>
</noRegion>
<name sortKey="Lai, Guan Lin" sort="Lai, Guan Lin" uniqKey="Lai G" first="Guan-Lin" last="Lai">Guan-Lin Lai</name>
<name sortKey="Lin, Pei Chun" sort="Lin, Pei Chun" uniqKey="Lin P" first="Pei-Chun" last="Lin">Pei-Chun Lin</name>
<name sortKey="Tzen, Chin Yuan" sort="Tzen, Chin Yuan" uniqKey="Tzen C" first="Chin-Yuan" last="Tzen">Chin-Yuan Tzen</name>
<name sortKey="Tzen, Chin Yuan" sort="Tzen, Chin Yuan" uniqKey="Tzen C" first="Chin-Yuan" last="Tzen">Chin-Yuan Tzen</name>
<name sortKey="Wang, Man Ning" sort="Wang, Man Ning" uniqKey="Wang M" first="Man-Ning" last="Wang">Man-Ning Wang</name>
<name sortKey="Wu, Chiao Yun" sort="Wu, Chiao Yun" uniqKey="Wu C" first="Chiao-Yun" last="Wu">Chiao-Yun Wu</name>
</country>
<country name="Singapour"><noRegion><name sortKey="Wang, Jia Hua" sort="Wang, Jia Hua" uniqKey="Wang J" first="Jia-Hua" last="Wang">Jia-Hua Wang</name>
</noRegion>
<name sortKey="Huang, Ying Jie" sort="Huang, Ying Jie" uniqKey="Huang Y" first="Ying-Jie" last="Huang">Ying-Jie Huang</name>
</country>
</tree>
</affiliations>
</record>
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