Abstract
The clinicopathological and DNA flow cytometric data of 33 patients with stromal tumours of the gastrointestinal tract (STGIT) were analysed to select pathological features of prognostic value. Tumours had been previously classified as benign (21 cases) or malignant (12 cases). Data relating to poor prognosis statistically were local invasion, pathological grade, size greater than 10 cm, mitotic index (MI) and necrosis. Pathological grade was related to local invasion. Aneuploidy did not correlate with poor survival although a common trend was detected between both. DNA content may help to predict prognosis of STGIT, but its real value has not yet been clearly established. Currently, stage (invasion), size, MI and pathological grade remain the most useful prognostic factors.
Similar content being viewed by others
References
Akwari OE, Dozois RR, Weiland LH, Bearhrs DJ (1978) Leiomyosarcoma of small and large bowel. Cancer 42:1375–1384
Appelman HD (1984) Stromal tumours of the esophagus, stomach and duodenum. In: Appelman HD (ed) Pathology of the esophagus, stomach and duodenum. (Contemporary issues in surgical pathology) Churchill Livingstone, New York, pp 195–242
Coindre JM, Bui NB, Bonichon F, Mascarel I, Trojani M (1988) Histopathologic grading in spindle cell soft tissue sarcomas. Cancer 61:2305–2309
Cooper PN, Quirke P, Hardy GJ, Dixon MF (1992) A flow cytometric, clinical and histological study of stromal neoplasm of the gastrointestinal tract. Am J Surg Pathol 16:163–170
Cunningham RE, Federspiel BH, McCarthy WF, Sobin LH, O'Leary TJ (1993) Predicting prognosis of gastrointestinal smooth muscle tumours. Role of clinical evaluation, flow cytometry and image analysis. Am J Surg Pathol 17:588–594
Evans HL (1985) Smooth muscle neoplasms of the gastrointestinal tract: a study of 56 patients followed for a minimum of 10 years. Cancer 56:2242–2250
Federspiel BH, Sobin LH, Helwig EB, Mikel UV, Bahr GF (1987) Morphometry and cytophotometric assessment of DNA in smooth muscle tumours (leiomyoma and leiomyosarcoma) of the gastrointestinal tract. Anal Quant Cytol Histol 9:104–114
Flint A, Appelman HD, Beckwith AL (1989) DNA analysis of gastric stromal neoplasm: correlation with pathologic features. Surg Pathol 2:117–124
Hedley DW, Friendlander ML, Taylor IW (1985) Application of DNA flow cytometry to paraffin embedded archival material for the study of aneuploidy and its clinical significance. Cytometry 6:327–333
Hendrickson MR, Kempson RL (1989) Smooth muscle tumours. In: Whitehead R (ed) Gastrointestinal and oesophageal pathology. Churchill Livingstone, New York, pp 619–628
Kiyabu MT, Bishop PC, Parker JW, Turner RR, Fitzgibbons PL (1988) Smooth muscle tumours of the gastrointestinal tract: flow cytometric quantification of DNA and nuclear antigen content and correlation with histologic grade. Am J Surg Pathol 12:954–960
Nemer FD, Stoeckinger JM, Evans T (1977) Smooth muscle rectal tumours: a therapeutic dilemma. Dis Colon Rectum 20:405–413
Ng EH, Pollock RE, Romsdahl MM (1992) Prognostic implications of patterns of failure for gastrointestinal sarcomas. Cancer 69:1334–1341
Ranchod M, Kempson RL (1977) Smooth muscle tumours of the gastrointestinal tract and retroperitoneum: a pathological analysis of 100 cases. Cancer 39:255–262
Tsushima K, Rainwater LM, Goelinger JR, Van Heerden JA, Liever MM (1987) Leiomyosarcomas and benign smooth muscle tumours of the stomach: nuclear DNA pattern studied by flow cytometry. Mayo Clin Proc 62:275–280
Ueyama T, Guo KJ, Hashimoto H, Daimaru Y, Enjoji M (1992) A clinicopathologic and immunohistochemical study of gastrointestinal stromal tumours. Cancer 69:947–955
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lerma, E., Oliva, E., Tugués, D. et al. Stromal tumours of the gastrointestinal tract: a clinicopathological and ploidy analysis of 33 cases. Vichows Archiv A Pathol Anat 424, 19–24 (1994). https://doi.org/10.1007/BF00197388
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00197388