KIT+ GIST : Recently Resected Patient
|61 years old
3 months since diagnosis
|Gastric KIT+ GIST Original tumor: 3 cm
Mitotic rate: >5/50 HPFs
|16% RISK OF RECURRENCE3|
Successfully resected patients may be convinced they are cancer free. They need to know:
- GIST has malignant potential, even after resection1,4
- GLIVEC is the only approved adjuvant therapy for KIT+ GIST5,6
- The National Comprehensive Cancer Network (NCCN) and the European Society for Medical Oncology (ESMO) recommend at least 36 months of imatinib therapy following resection in patients with significant risk of recurrence1,7 *
- Adjuvant therapy with GLIVEC can significantly lower the risk of tumor recurrence5,8
Make an informed decision regarding postsurgical treatment with GLIVEC
GIST=gastrointestinal stromal tumor.
* NCCN recommends use in intermediate-risk and high-risk KIT+ GIST patients, whereas ESMO suggests use in patients with high risk.
- The NCCN Soft Tissue Sarcoma Clinical Practice Guidelines in Oncology (Version 3.2012). ©2012 National Comprehensive Cancer Network, Inc.http://www.nccn.org. Accessed November 30, 2012. To view the most recent and complete version of the guidelines, go online to www.nccn.org.
- Reichardt P, Blay J-Y, von Mehren M. Towards global consensus in the treatment of gastrointestinal stromal tumor. Expert Rev Anticancer Ther. 2010;10(2):221-232.
- Miettinen M, Lasota J. Gastrointestinal stromal tumors: pathology and prognosis at different sites. Semin Diagn Pathol. 2006;23(2):70-83.
- Fletcher CDM, Berman JJ, Corless C, et al. Diagnosis of gastrointestinal stromal tumors: a consensus approach. Hum Pathol. 2002;33(5):459-465.
- Glivec® (imatinib) summary of product characteristics. West Sussex, UK: Novartis Europharm Limited; 2013.
- Sutent® (sunitinib malate) summary of product characteristics. Sandwich, Kent, UK: Pfizer Ltd; 2012.
- The ESMO/European Sarcoma Network Working Group. Gastrointestinal stromal tumors: ESMO clinical practice guidelines of diagnosis, treatment and follow-up. Ann Oncol. 2012;23(supp7):vii49-vii55.
- DeMatteo RP, Ballman KV, Antonescu CR, et al; for the American College of Surgeons Oncology Group (ACOSOG) Intergroup Adjuvant GIST Study Team. Adjuvant imatinib mesylate after resection of localised, primary gastrointestinal stromal tumour: a randomised, double-blind, placebo-controlled trial. Lancet. 2009;373(9669):1097-1104.