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Updated: Jul 31, 2025

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
SEOM-GEIS clinical guideline for gastrointestinal stromal tumors (2022)
César Serrano1, Rosa Álvarez2, Juan Antonio Carrasco3
1Sarcoma Translational Research Group, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitario Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, C/Natzaret, 115-117, 08035, Barcelona, Spain. cserrano@vhio.net.
Abstract:
Gastrointestinal stromal tumor (GIST) is the most common malignant neoplasm of mesenchymal origin, and a paradigmatic model for a successful rational development of targeted therapies in cancer. The introduction of tyrosine kinase inhibitors with activity against KIT/PDGFRA in both localized and advanced stages has remarkably improved the survival in a disease formerly deemed resistant to all systemic therapies. These guidelines are elaborated by the conjoint effort of the Spanish Society of Medical Oncology (SEOM) and the Spanish Sarcoma Research Group (GEIS) and provide a multidisciplinary and updated consensus for the diagnosis and treatment of GIST patients. We strongly encourage that the managing of these patients should be performed within multidisciplinary teams in reference centers.
Insights
Gastrointestinal stromal tumors (GIST) are the most common mesenchymal neoplasms. Targeted therapies like tyrosine kinase inhibitors have significantly improved survival for GIST patients, transforming treatment outcomes.
Area of Science:
- Oncology
- Medical Genetics
- Pharmacology
Background:
- Gastrointestinal stromal tumor (GIST) represents the most frequent mesenchymal malignancy.
- GIST serves as a key model for targeted cancer therapy development.
- Tyrosine kinase inhibitors targeting KIT/PDGFRA have revolutionized GIST treatment.
Purpose of the Study:
- To provide updated, multidisciplinary consensus guidelines for GIST diagnosis and treatment.
- To establish recommendations for managing GIST patients.
Main Methods:
- Conjoint elaboration by the Spanish Society of Medical Oncology (SEOM) and the Spanish Sarcoma Research Group (GEIS).
- Development of consensus-based guidelines for GIST management.
Main Results:
- Introduction of KIT/PDGFRA-active tyrosine kinase inhibitors has markedly improved survival in localized and advanced GIST.
- These targeted therapies offer effective systemic treatment for a previously resistant disease.
Conclusions:
- Management of GIST patients should be centralized in reference centers.
- Multidisciplinary team involvement is crucial for optimal GIST patient care.
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