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L. Ortega Medina y M. Saiz-Pardo Sanz
Fig. 3. GIST epitelioide. Células poligonales de citoplasma vacuola- Fig. 4. Intensa positividad difusa para c-kit (CD117) en un GIST ma-
do (HE 200x). ligno (PAP, c-kit 200x).
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Oncología, 2004; 27 (4):237-241
12. Fletcher CD, Berman JJ, Corless C, Gorstein F, Lasota J, Longley 22. Schneider-Stock R, Boltze C, Lasota J, Miettinen M, Peters B,
BJ, Miettinen M, O’Leary TJ, Remotti H, Rubin BP, Shmookler B, Pross M, Roessner A, Gunther T. High prognostic value of
Sobin LH, Weiss SW. Diagnosis of gastrointestinal stromal tu- p16INK4 alterations in gastrointestinal stromal tumors. J Clin
mors: A consensus approach. Hum Pathol 2002; 33:459-65. Oncol 2003; 21:1688-97.
13. Erlandson RA, Klimstra DS, Woodruff JM. Subclassification of 23. Toquet C, Le Neel JC, Guillou L, Renaudin K, Hamy A, Hey-
gastrointestinal stromal tumors based on evaluation by electron mann MF, Simon-Valla S, Le Borgne J, Maugard C, Fiche M.
microscopy and immunohistochemistry. Ultrastruct Pathol 1996; Elevated (>or=10%) MIB-1 proliferative index correlates with
20:373-93. poor outcome in gastric stromal tumor patients: a study of 35
14. Miettinen M, Sobin LH, Sarlomo-Rikala M. Immunohistochemi- cases. Dig Dis Sci 2002; 47:2247-53.
cal spectrum of GISTs at different sites and their differential 24. El-Rifai W, Sarlomo-Rikala M, Andersson LC, Knuutila S, Mietti-
diagnosis with a reference to CD117 (KIT). Mod Pathol 2000; nen M.DNA sequence copy number changes in gastrointestinal
13:1134-42. stromal tumors: tumor progression and prognostic significance.
15. Heinrich MC, Corless CL, Duensing A, McGreevey L, Chen CJ, Cancer Res 2000; 60:3899-903.
Joseph N, Singer S, Griffith DJ, Haley A, Town A, Demetri GD, 25. Kim NG, Kim JJ, Ahn JY, Seong CM, Noh SH, Kim CB, Min JS,
Fletcher CDM, Fletcher JA. PDGFRA activating mutations in Kim H. Putative chromosomal deletions on 9P, 9Q and 22Q oc-
gastrointestinal stromal tumors. Science 2003; 299:708-10. cur preferentially in malignant gastrointestinal stromal tumors.
16. Miettinen M, El-Rifai W, H L Sobin L, Lasota J. Evaluation of Int J Cancer 2000; 85:633-8.
malignancy and prognosis of gastrointestinal stromal tumors: a 26. Koon N, Schneider-Stock R, Sarlomo-Rikala M, Lasota J, Smol-
review. Hum Pathol 2002; 33:478-83. kin M, Petroni G, Zaika A, Boltze C, Meyer F, Andersson L,
17. Trupiano JK, Stewart RE, Misick C, Appelman HD, Goldblum Knuutila S, Miettinen M, El-Rifai W. Molecular targets for tu-
JR. Gastric stromal tumors: a clinicopathologic study of 77 ca- mour progression in gastrointestinal stromal tumours. Gut
ses with correlation of features with nonaggressive and aggres- 2004; 53:235-40.
sive clinical behaviors. Am J Surg Pathol 2002; 26:705-14. 27. House MG, Guo M, Efron DT, Lillemoe KD, Cameron JL, Syp-
18. Amin MB, Ma CK, Linden MD, Kubus JJ, Zarbo RJ. Prognostic hard JE, Hooker CM, Abraham SC, Montgomery EA, Herman
value of proliferating cell nuclear antigen index in gastric stro- JG, Brock MV. Tumor suppressor gene hypermethylation as a
mal tumors. Correlation with mitotic count and clinical outcome. predictor of gastric stromal tumor behavior. J Gastrointest Surg
Am J Clin Pathol 1993; 100:428-32. 2003; 7:1004-14.
19. Yan H, Marchettini P, Acherman YI, Gething SA, Brun E, Su- 28. Gunther T, Schneider-Stock R, Hackel C, Pross M, Schulz HU,
garbaker PH. Prognostic assessment of gastrointestinal stromal Lippert H, Roessner A.Telomerase activity and expression of
tumor. Am J Clin Oncol 2003; 26:221-8. hTRT and hTR in gastrointestinal stromal tumors in comparison
with extragastrointestinal sarcomas. Clin Cancer Res 2000; 6:
20. Wong NA, Young R, Malcomson RD, Nayar AG, Jamieson LA,
1811-8.
Save VE, Carey FA, Brewster DH, Han C, Al-Nafussi A. Prog-
nostic indicators for gastrointestinal stromal tumours: a clinico- 29. Lasota J, Dansonka-Mieszkowska A, Stachura T, Schneider-
pathological and immunohistochemical study of 108 resected Stock R, Kallajoki M, Steigen SE, Sarlomo-Rikala M, Boltze C,
cases of the stomach. Histopathology 2003; 43:118-26. Kordek R, Roessner A, Stachura J, Miettinen M. Gastrointestinal
stromal tumors with internal tandem duplications in 3’ end of
21. Takahashi R, Tanaka S, Kitadai Y, Sumii M, Yoshihara M, Ha-
KIT juxtamembrane domain occur predominantly in stomach
ruma K, Chayama K. Expression of vascular endothelial growth
and generally seem to have a favorable course. Mod Pathol
factor and angiogenesis in gastrointestinal stromal tumor of the
2003; 16:1257-64.
stomach. Oncology 2003; 64:266-74.
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