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Coexistence of a c-kit negative gastrointestinal stromal tumor and a gastric mucinous adenocarcinoma
Alternative TitleCoexistence of a c-kit negative gastrointestinal stromal tumor and a gastric mucinous adenocarcinoma
Zhang Hao1; Zhang Shuilong1; Xu Huimian1
2010
Source PublicationCHINESE MEDICAL JOURNAL
ISSN0366-6999
Volume123Issue:24Pages:3728-3730
AbstractM azur and Clark introduced the term "gastrointestinal stromal tumor" (GIST).1 These tumors are thought to originate from mesenchymal stem cells that differentiate toward the interstitial cells of Cajal.2 Activation of c-kit or platelet-derived growth factor receptor alpha (PDGFRA) gene mutation has been shown to be a major force in GIST pathogenesis leading to down-stream phosphorylation of substrate proteins and subsequently activation of networks of signal transduction pathways that regulate cell proliferation, survival, apoptosis, motility and other important cell functions. Immunohistochemically, a great majority of GISTs show strong, diffuse c-kit expression. The diagnosis of GIST! is currently based on morphologic features and immunohistochemical demonstration of c-kit (CD117). However, in some cases c-kit immunoreactivity is weak or undetectable. Here we report a case of a c-kit negative mesenchymal neoplasm in which molecular analysis was required to establish the correct diagnosis of GIST. The synchronous appearance of c-kit positive GIST and other malignancies have been reported previously.3-6 To the best of our knowledge, this is the first report of a c-kit negative GIST of the stomach coexisting with a gastric adenocarcinoma
Other AbstractM azur and Clark introduced the term "gastrointestinal stromal tumor" (GIST).1 These tumors are thought to originate from mesenchymal stem cells that differentiate toward the interstitial cells of Cajal.2 Activation of c-kit or platelet-derived growth factor receptor alpha (PDGFRA) gene mutation has been shown to be a major force in GIST pathogenesis leading to down-stream phosphorylation of substrate proteins and subsequently activation of networks of signal transduction pathways that regulate cell proliferation, survival, apoptosis, motility and other important cell functions. Immunohistochemically, a great majority of GISTs show strong, diffuse c-kit expression. The diagnosis of GIST! is currently based on morphologic features and immunohistochemical demonstration of c-kit (CD117). However, in some cases c-kit immunoreactivity is weak or undetectable. Here we report a case of a c-kit negative mesenchymal neoplasm in which molecular analysis was required to establish the correct diagnosis of GIST. The synchronous appearance of c-kit positive GIST and other malignancies have been reported previously.3-6 To the best of our knowledge, this is the first report of a c-kit negative GIST of the stomach coexisting with a gastric adenocarcinoma
KeywordMUTATIONS DIAGNOSIS GISTS gastrointestinal stromal tumor gastric adenocarcinoma c-kit platelet-derived growth factor receptor alpha mutation
Indexed ByCSCD
Language英语
CSCD IDCSCD:4088815
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Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/142803
Collection中国科学院金属研究所
Affiliation1.中国科学院金属研究所
2.中国科学院合肥物质科学研究院肿瘤医院
Recommended Citation
GB/T 7714
Zhang Hao,Zhang Shuilong,Xu Huimian. Coexistence of a c-kit negative gastrointestinal stromal tumor and a gastric mucinous adenocarcinoma[J]. CHINESE MEDICAL JOURNAL,2010,123(24):3728-3730.
APA Zhang Hao,Zhang Shuilong,&Xu Huimian.(2010).Coexistence of a c-kit negative gastrointestinal stromal tumor and a gastric mucinous adenocarcinoma.CHINESE MEDICAL JOURNAL,123(24),3728-3730.
MLA Zhang Hao,et al."Coexistence of a c-kit negative gastrointestinal stromal tumor and a gastric mucinous adenocarcinoma".CHINESE MEDICAL JOURNAL 123.24(2010):3728-3730.
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