PMID- 17914946 OWN - NLM STAT- MEDLINE DCOM- 20080118 LR - 20091119 IS - 0815-9319 (Print) IS - 0815-9319 (Linking) VI - 22 IP - 11 DP - 2007 Nov TI - Gastrointestinal stromal tumors: usefulness of immunohistochemistry, flow cytometry and fluorescence in situ hybridization. PG - 1754-9 AB - BACKGROUND AND AIMS: Gastrointestinal stromal tumors (GIST) constitute a group of primary mesenchymal tumors of the gastrointestinal tract, known for their diversity in clinical behavior and the difficulties in determining malignancy and prognosis. This retrospective study evaluated a series of GIST by means of immunohistochemical techniques, flow cytometry and fluorescence in situ hybridization (FISH). METHODS: Nine patients with GIST were analyzed for tumor size, mitotic count and CD117, CD34, MIB-1 with immunohistochemistry. In addition, the GIST were tested with FISH for chromosomes 8 and 17 and DNA index was evaluated by flow cytometry. RESULTS: The findings confirmed the usefulness of CD117 and CD34 in diagnosing GIST and the prognostic role of MIB-1, but do not support a correlation between aneuploidy in flow cytometry and poor outcome. The FISH results suggest close follow-up for patients with benign GIST with a numerical alteration of chromosome 8. The technique could select patients with tumors at high-risk with aneusomy of chromosome 17. CONCLUSION: This study shows the possible application of FISH to the evaluation of patients with GIST, in addition to analysis of morphological features. FAU - Fontana, Maria Grazia AU - Fontana MG AD - First Department of Surgery, University of Brescia, Brescia, Italy. FAU - Rossi, Elisa AU - Rossi E FAU - Bassotti, Gabrio AU - Bassotti G FAU - Aquilano, Maria Costanza AU - Aquilano MC FAU - Cadei, Morris AU - Cadei M FAU - Grigolato, Piergiovanni AU - Grigolato P FAU - Villanacci, Vincenzo AU - Villanacci V LA - eng PT - Journal Article PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (Antigens, CD34) RN - 0 (Ki-67 Antigen) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-kit) SB - IM MH - Antigens, CD34/analysis MH - Chromosomes, Human, Pair 17 MH - Chromosomes, Human, Pair 8 MH - Female MH - *Flow Cytometry MH - Follow-Up Studies MH - Gastrointestinal Stromal Tumors/*diagnosis/genetics/pathology/therapy MH - Gene Expression Regulation, Neoplastic MH - Humans MH - *Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Ki-67 Antigen/analysis MH - Male MH - Middle Aged MH - Mitotic Index MH - Neoplasm Staging MH - Predictive Value of Tests MH - Prognosis MH - Proto-Oncogene Proteins c-kit/analysis MH - Retrospective Studies MH - Time Factors EDAT- 2007/10/05 09:00 MHDA- 2008/01/19 09:00 CRDT- 2007/10/05 09:00 PHST- 2007/10/05 09:00 [pubmed] PHST- 2008/01/19 09:00 [medline] PHST- 2007/10/05 09:00 [entrez] AID - JGH4530 [pii] AID - 10.1111/j.1440-1746.2006.04530.x [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2007 Nov;22(11):1754-9. doi: 10.1111/j.1440-1746.2006.04530.x.