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4.2 Treatment for other GISTs

4

Gastrointestinal stromal tumors Treatment for other GISTs

NCCN Guidelines for Patients

®

Soft Tissue Sarcoma, Version 1.2014

44

Chart 4.2.1 Treatment options

Neoadjuvant

treatment

Primary treatment

Surgery results

Adjuvant treatment

None

Surgery

All cancer removed

Not all cancer removed

Imatinib if high risk for

recurrence, or

Observation

Imatinib and consider second

surgery

Imatinib

All cancer removed

Not all cancer removed

Metastases

Consider imatinib if had

response before

Imatinib and consider second

surgery

Imatinib

Surgery

Stay on imatinib

Chart 4.2.2 Care after surgery

Surgery results

Tests

Schedule

All cancer removed

• Medical history and

physical exam

Every 3–6 months for 5 years

° If

normal results, then repeat every year

• CT of abdomen and pelvis

Every 3–6 months for 3–5 years

° If

normal results, then repeat every year

Not all cancer removed

• Medical history, physical

exam, and CT of

abdomen and pelvis

Every 3–6 months