Esophagogastric junction gastrointestinal stromal tumor:Resection vs enucleation

查看全文 作　　者：Federico [1]Coccolini;Fausto [1]Catena;Luca [1]Ansaloni;Daniel [2]Lazzareschi;Antonio Daniele [1]Pinna 机构地区：[1]Unit of General,Emergency and Transplant Surgery,St.Orsola-Malpighi University Hospital;[2]Department of Integrative Biology,University of California,Berkeley 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第35期,共3页 摘　　要：Esophageal gastrointestinal stromal tumors(GISTs) are extremely uncommon,representing approximately 5% of GISTs with the majority of esophageal GISTs occurring at the esophagogastric junction(EGJ).The treatment options available for these GISTs are fairly controversial.Many different options are nowadays at our disposal.From surgery to the target therapies we have the possibility to treat the majority of GISTs,including those which are defined as unresectable.The EGJ GISTs represent a stimulating challenge for the surgeon.The anatomical location increases the possibility of postoperative complications.As the role of negative margins in GIST surgery is still controversial and the eff icacy of target therapy has been demonstrated,why not treat EGJ GISTs with enucleation and,where indicated,adjuvant target therapy? 关 键 词：Esophagogastric junction Gastrointestinal stromal tumor Surgical approach RESECTION ENUCLEATION