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Inicio Medicina Clínica (English Edition) Additional primary malignancies in patients with gastrointestinal stromal tumors...
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Vol. 147. Issue 9.
Pages 405-409 (November 2016)
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Vol. 147. Issue 9.
Pages 405-409 (November 2016)
Review
DOI: 10.1016/j.medcle.2016.11.022
Additional primary malignancies in patients with gastrointestinal stromal tumors. Proposal for a new classification
Asociación de tumores del estroma gastrointestinal con otros tumores primarios. Propuesta de una nueva clasificación
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Juan Ángel Fernández Hernández, Vicente Olivares Ripoll
Corresponding author
vicenteolivaresripoll@gmail.com

Corresponding author.
, Pascual Parrilla Paricio
Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Tables (3)
Table 1. Main series of patients with gastrointestinal stromal tumours and associated tumours.
Table 2. Series where the prognostic impact of tumours associated with gastrointestinal stromal tumours is reflected.
Table 3. Proposed classification.
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Abstract

Additional primary malignancies in patients with gastrointestinal stromal tumour (GIST) is not only common but of growing interest in the scientific literature. This association is of great importance in terms of clinical challenge, diagnosis and therapy as well as for the prognosis impact it implies. In the published series there is a tendency to group these patients to determine the specific and distinguishable characteristics of GIST associated with other malignancies. On the other hand, there is no general consensus or unified classification. This classification would be of great interest, as it would unify criteria, agree groups to compare different series and demonstrate whether the aetiology underlying both tumours and the GIST's own characteristics really vary according to the type in question. We undertook a medical literature review and proposed a new classification for patients with GIST associated with other tumours.

Keywords:
Gastrointestinal stromal tumour
Synchronous neoplasms
Multiple neoplasms
Review
Classification
Resumen

La asociación de gastrointestinal stromal tumor (GIST, «tumor del estroma gastrointestinal») con otras neoplasias primarias en un mismo paciente es un hecho no solo frecuente, sino con un interés creciente en la literatura científica. Esta asociación tiene una enorme importancia tanto por el desafío clínico, diagnóstico y terapéutico como por el impacto pronóstico que implica. En las series publicadas existe una tendencia a agrupar a estos pacientes para determinar que los GIST asociados a otras neoplasias tienen características concretas y diferenciables. Por el contrario, no existe un consenso general ni una clasificación unificada. Esta clasificación sería de gran interés, pues permitiría unificar criterios, consensuar los grupos para comparar las distintas series y demostrar si realmente la etiopatogenia subyacente a ambos tumores y las características del propio GIST varían según el tipo de que se trate. Realizamos una revisión de la literatura médica actual y una propuesta de nueva clasificación para pacientes con GIST asociados a otros tumores.

Palabras clave:
Tumor del estroma gastrointestinal
Neoplasia sincrónica
Neoplasias múltiples
Revisión
Clasificación

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