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DOI:10.2214/AJR.08.2106
AJR 2009; 193:W100-W105
© American Roentgen Ray Society


Clinical Observations

Residual and Recurrent Gastrointestinal Stromal Tumors With KIT Mutations: Findings at First Follow-Up CT After Imatinib Treatment

Dongil Choi1, Eun Young Yoo1, Kyoung-Mee Kim2, Tae Sung Sohn3, Won Jae Lee1, Ji Young Lee1 and Ilsoo Chang1

1 Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710, Korea.
2 Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
3 Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

OBJECTIVE. The purpose of this study was to correlate findings on the first follow-up CT after treatment with imatinib in patients with residual or recurrent gastrointestinal stromal tumors (GISTs) with the different types of KIT mutation present at initial resection.

CONCLUSION. Residual and recurrent GISTs with KIT mutation of exon 11 deletion more frequently showed both tumor shrinkage and cystic change on 2-month follow-up CT images after the start of imatinib treatment than did other mutation types.

Keywords: cystic change • follow-up CT • gastrointestinal stromal tumor • GIST • imatinib treatment • KIT mutation


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