title: Gastrointestinal stromal tumors: evolving role of the multidisciplinary team approach in management.
abstract: Gastrointestinal stromal tumors (GISTs) are rare tumors of the GI tract arising from mesenchymal cells. Treatment options include surgical resection and medical therapy with imatinib. A summary of National Comprehensive Cancer Network and European Society of Medical Oncology clinical practice guidelines relating to GIST management are presented here. A multidisciplinary team of physicians is essential to the successful treatment of GIST. Evidence supports multidisciplinary team management with a gastroenterologist, surgeon, medical oncologist, pathologist and radiologist. Consultations between them are recommended to ensure optimal care of patients with GIST. The role for individual core team workers is highlighted. The benefits of multidisciplinary disease management of patients include reducing recurrent disease, optimizing timing of surgery and organ preservation, prolonging survival for the patient and enhancing response to targeted therapies.
authors.affiliation: HELIOS Klinikum Bad Saarow GmbH, Germany. peter.reichardt@helios-kliniken.de
authors.forename: Peter
authors.initials: P
authors.lastname: Reichardt
authors.forename: Carlo
authors.initials: C
authors.lastname: Morosi
authors.forename: Eva
authors.initials: E
authors.lastname: Wardelmann
authors.forename: Alessandro
authors.initials: A
authors.lastname: Gronchi
mesh_terms: D001549:Benzamides; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D000068877:Imatinib Mesylate; D025202:Molecular Diagnostic Techniques; D009367:Neoplasm Staging; D010348:Patient Care Team / Q000458:organization & administration*; D010879:Piperazines / Q000627:therapeutic use; D057234:Preoperative Period; D011743:Pyrimidines / Q000627:therapeutic use; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D001549:Benzamides; D010879:Piperazines; D011743:Pyrimidines; D000068877:Imatinib Mesylate