Abdominal Imaging

, Volume 28, Issue 3, pp 0301–0307

Endosonographic evaluation of c-kit-positive gastrointestinal stromal tumor

Authors

  • T. Okai
    • Department of Medical Oncology & Internal Medicine, Cancer Research Institute, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • T. Minamoto
    • Department of Molecular Pathology, Cancer Research Institute, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • K. Ohtsubo
    • Department of Medical Oncology & Internal Medicine, Cancer Research Institute, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • H. Minato
    • Department of Central Pathology, Kanazawa University Hospital, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • H. Kurumaya
    • Department of Pathology, Ishikawa Prefecture Hospital, nu 153, Minamishimbo, Kanazawa 920-0064, Ishikawa, Japan
  • Y. Oda
    • First Department of Pathology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • M. Mai
    • Department of Surgical Oncology, Cancer Research Institute, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan
  • N. Sawabu
    • Department of Medical Oncology & Internal Medicine, Cancer Research Institute, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Ishikawa, Japan

DOI: 10.1007/s00261-002-0055-x

Cite this article as:
Okai, T., Minamoto, T., Ohtsubo, K. et al. Abdom Imaging (2003) 28: 0301. doi:10.1007/s00261-002-0055-x

Abstract

Background: Endosonographic features of c-kit–positive gastrointestinal stromal tumors (GISTs) were compared with those of leiomyomas and schwannomas.

Methods: Twenty-four patients with gastric mesenchymal tumors who underwent endoscopic ultrasonography (EUS) and surgical treatment were enrolled. GISTs were defined as c-kit (CD117)–positive tumors, leiomyomas as desmin-positive and c-kit–negative tumors, and schwannomas as S-100–positive and c-kit–negative tumors. Invasion to adjacent organs or more than 20 mitotic counts per 50 high power fields indicated malignancy.

Results: There were 19 GISTs, three leiomyomas, and two schwannomas. All five malignant tumors were GISTs. A marginal halo was found in 12 of 19 GISTs and in both of the schwannomas, but not in any of the three leiomyomas. The echogenicities of GISTs were low but higher than that of the normal proper muscle layer, whereas those of leiomyomas and schwannomas were usually low. Lobulation of the tumor surface was documented only in GISTs, particularly in malignant ones. The tumor doubling time of a malignant GIST was 9.3 months, and that of six benign GISTs was 18.7 months (range = 10.7–28.0 months).

Conclusion: Marginal halo and relatively higher echogenicity on EUS might suggest GIST. Marginal lobulation and a short doubling time may be signs of a malignant GIST.

Key words: C-kit—Endoscopic ultrasonography—Gastrointestinal stromal tumor—Immunohistochemistry—Lobulation—Submucosal tumor.

Copyright information

© Springer-Verlag New York Inc. 2003