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Original Article
Brief Report
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Volume 344:1052-1056 April 5, 2001 Number 14
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Effect of the Tyrosine Kinase Inhibitor STI571 in a Patient with a Metastatic Gastrointestinal Stromal Tumor
Heikki Joensuu, M.D., Peter J. Roberts, M.D., Maarit Sarlomo-Rikala, M.D., Leif C. Andersson, M.D., Pekka Tervahartiala, M.D., David Tuveson, M.D., Ph.D., Sandra L. Silberman, M.D., Ph.D., Renaud Capdeville, M.D., Sasa Dimitrijevic, Ph.D., Brian Druker, M.D., and George D. Demetri, M.D.

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Gastrointestinal stromal tumors are a group of mesenchymal neoplasms that arise from precursors of the connective-tissue cells of the gastrointestinal tract.1 They occur predominantly in middle-aged and older persons, and approximately 70 percent of the tumors are found in the stomach, 20 to 30 percent are found in the small intestine, and less than 10 percent are found elsewhere in the gastrointestinal tract.1 Recent studies have shown that cells in gastrointestinal stromal tumors express a growth factor receptor with tyrosine kinase activity termed c-kit. This receptor, the product of the proto-oncogene c-kit, can be detected by immunohistochemical staining for . . . [Full Text of this Article]

Case Report

Methods

Results

Evaluation of the Response by MRI

Evaluation by PET Scanning with [18F]Fluorodeoxyglucose

Histologic Findings

Side Effects of STI571

Discussion


Source Information

From the Departments of Oncology (H.J.) and Radiology (P.T.), Helsinki University Central Hospital, Helsinki, Finland; the Department of Surgery, Turku University Central Hospital, Turku, Finland (P.J.R.); the Department of Pathology, Haartman Institute, University of Helsinki, Helsinki (M.S.-R., L.C.A.); the Department of Biology and Howard Hughes Medical Institute, Massachusetts Institute of Technology, Cambridge (D.T.); the Center for Sarcoma and Bone Oncology, Department of Adult Oncology, Dana–Farber Cancer Institute and Harvard Medical School, Boston (D.T., G.D.D.); Novartis Oncology, East Hanover, N.J. (S.S.), and Basel, Switzerland (R.C., S.D.); and the Department of Medical Oncology, Oregon Health Sciences University, Portland (B.D.). Drs. Joensuu and Roberts contributed equally to the article.

Address reprint requests to Dr. Joensuu at the Department of Oncology, Helsinki University Central Hospital, Haartmaninkatu 4, P.O. Box 180, FIN-00029, Helsinki, Finland.

References


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