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Updated: May 16, 2026

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
Endoscopic resection of a cardia gastrointestinal stromal tumour (GIST) after echoendoscopy
David Corrêa Alves de Lima1, Luiz Ronaldo Alberti
1Biogastro Clinic and Federal University of Minas Gerais, Brazil. david@biogastro.com.br
Insights
Gastrointestinal stromal tumours (GISTs) are common mesenchymal tumors. This case report details the endoscopic resection of a cardia GIST, highlighting advancements in GIST treatment.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Gastrointestinal stromal tumours (GISTs) were previously misclassified as smooth muscle neoplasms.
- GISTs represent the most prevalent mesenchymal tumors within the gastrointestinal tract.
- A significant proportion of GISTs (10-30%) exhibit malignant potential, posing clinical challenges.
Observation:
- Historically, GISTs demonstrated resistance to chemotherapy and radiotherapy.
- A lack of established criteria for assessing GIST malignancy complicated patient management.
- Recent progress includes identifying prognostic factors and developing targeted therapies for GIST.
Findings:
- This work presents a case study of endoscopic resection for a GIST located in the cardia.
- The successful endoscopic resection demonstrates a minimally invasive approach for specific GIST cases.
Implications:
- Advances in molecular targeted therapies offer new hope for GIST patients.
- Endoscopic resection may be a viable treatment option for select GISTs.
- Improved prognostic factors aid in personalized GIST management strategies.
Abstract:
Gastrointestinal stromal tumours (GISTs) previously were thought to represent smooth muscle tumours of the gastrointestinal tract and were formerly classified as leiomyomas and leiomyosarcomas. GISTs are the most common mesenchymal tumours of the gastrointestinal tract and are of clinical relevance because in at least 10% to 30% of cases they are malignant. In the past, GISTs chemo and radio-resistance made treatment a challenging issue for physicians, while criteria for evaluation of the malignant potential of GISTs were lacking. Currently, identification of reliable prognostic factors and the development of molecular-targeted anticancer strategies for GIST have given new hope to these patients. The objective of the present work was to report a case of endoscopic resection of a cardia GIST.
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