Pathologic complete response to neoadjuvant imatinib of a gastric stromal tumor with concomitant mutations in KIT: A case report and literature review

Author:

Rekaya Mariem Ben12,Ksontini Feryel3,Kacem Linda Bel Haj12,Sassi Farah2ORCID,Harigua‐Souiai Emna4,Boujneh Ryma3,H'mayada Ahmed1,Zaimi Yosra5,Ayadi Mouna3,Trabelsi Mediha6,Mrad Ridha6,Rammeh Soumaya12

Affiliation:

1. Theranostic Biomarkers, UR17ES15, Faculty of Medicine of Tunis Université Tunis El Manar Tunis Tunisia

2. Pathology Department Charles Nicolle Hospital Tunis Tunisia

3. Medical Oncology Department Salah Azaiez Institute Tunis Tunisia

4. Laboratory of Molecular Epidemiology and Experimental Pathology – LR16IPT04 Institut Pasteur de Tunis, Université de Tunis El Manar Tunis Tunisia

5. Gastroenterology Department Charles Nicolle Hospital Tunis Tunisia

6. Department of Hereditary and Congenital Disorders Charles Nicolle Hospital Tunis Tunisia

Abstract

Key clinical messageWe report the first case of pathologic complete response (pCR) to neoadjuvant imatinib in a gastric stromal tumor harboring KIT mutations in both exons 11 and 9. The significance of this co‐occurrence is unknown and might increase the responsiveness of gastrointestinal stromal tumors (GISTs) to imatinib.AbstractpCR of GIST to neoadjuvant imatinib is rare. We report a case of pCR to neoadjuvant imatinib in a gastric stromal tumor that harbored co‐occurrence of multiple KIT mutations in exons 11 and 9. This co‐occurrence in exons 9 and 11 is the first to be reported in the English literature.

Publisher

Wiley

Subject

General Medicine

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