Gist cytology

  • How do you confirm GIST?

    Tests for GIST

    1. Ultrasound scan.
    2. An ultrasound scan uses soundwaves to form a picture of the inside of the body.
    3. Endoscopy.
    4. This test uses a thin tube called an endoscope which has a light and camera on the end.
    5. Endoscopic ultrasound (EUS)
    6. Colonoscopy
    7. Biopsy
    8. CT scan
    9. MRI scan
    10. PET scan

  • How is GIST detected?

    The majority of gastrointestinal stromal tumors (GIST) are asymptomatic and are often diagnosed incidentally as part of routine testing.
    Endoscopies, colonoscopies, routine blood tests and stool tests may detect a GIST while a patient is without symptoms.
    Imaging, such as a CT scan or MRI, may also detect a GIST..

  • What are the cytological features of GIST?

    In epitheliod GISTs, cytologic smears are usually cellular, and the cells appear predominantly singly or in loose clusters.
    Upon processing with Papanicolaou stain, the epitheliod cells contain moderate amount of amphophilic to eosinophilic cytoplasm.
    Nuclei are round or oval and vesicular..

  • What are the histological features of GIST?

    Gastric GISTs vary from small serosal or intramural nodules to large masses that can have variable intraluminal, intramural, and external components.
    Histologically, these tumors have a wide variation ranging from hypocellular to highly cellular with higher mitotic rates in the latter group..

  • What are the markers for GIST?

    CD117 and DOG1 are the most sensitive and specific markers that can cover ~99% of GISTs and are rarely expressed in non-GIST tumors.
    Although CD34 was widely used in the diagnosis of GISTs before CD117, it is no longer used for this purpose because of its lower sensitivity than CD117..

  • What is a GIST cell?

    A gastrointestinal stromal tumor (GIST) is a rare tumor in the gastrointestinal (GI) or digestive tract.
    They start in cells called the interstitial cells of Cajal (ICCs).
    ICCs are part of the nervous system.
    They coordinate the automatic movements of the GI tract..

  • What is a GIST?

    A gastrointestinal stromal tumor (GIST) is a type of cancer that begins in the digestive system.
    GIST s happen most often in the stomach and small intestine.
    A GIST is a growth of cells that's thought to form from a special type of nerve cells.
    These special nerve cells are in the walls of the digestive organs..

  • What is GIST in cytology?

    The term gastrointestinal stromal tumors (GIST) is used to refer to those mesenchymal neoplasms of the gastrointestinal tract (GIT) which express CD117, a c-kit proto-oncogene protein..

  • A gastrointestinal stromal tumor (GIST) is a rare tumor in the gastrointestinal (GI) or digestive tract.
    They start in cells called the interstitial cells of Cajal (ICCs).
    ICCs are part of the nervous system.
    They coordinate the automatic movements of the GI tract.
  • CD117 and DOG1 are the most sensitive and specific markers that can cover ~99% of GISTs and are rarely expressed in non-GIST tumors.
    Although CD34 was widely used in the diagnosis of GISTs before CD117, it is no longer used for this purpose because of its lower sensitivity than CD117.
  • The majority of gastrointestinal stromal tumors (GIST) are asymptomatic and are often diagnosed incidentally as part of routine testing.
    Endoscopies, colonoscopies, routine blood tests and stool tests may detect a GIST while a patient is without symptoms.
    Imaging, such as a CT scan or MRI, may also detect a GIST.
GISTs show a wide spectrum of cytological features and the presence of mitosis, necrosis and nuclear pleomorphism can help in prediction of malignant behavior.AbstractIntroductionMaterials and MethodsResults

Is c-kit a positive cytologic test for gist?

IC for c-kit (on cytologic material) was positive in 10 of 10 cases of GIST (usually diffuse and strong) and 2 of 19 cases of LMS (focal)

CD34 positivity favored GIST (4 of 9 cases) over LMS (1 of 19 cases)

Smooth muscle actin was positive in 20 of 20 LMSs (strong and diffuse) and 6 of 10 GISTs (usually focal)

What is a GIST tumor?

GISTs are rare tumors that account for a small percentage of gastrointestinal neoplasms

GISTs that occur outside the stomach are associated with a higher malignancy potential

Usually GISTs are an incidental finding and therefore most of the time present asymptomatically

What is the role of cytology in GIST and Egist?

GISTs show a wide spectrum of cytological features and the presence of mitosis, necrosis and nuclear pleomorphism can help in prediction of malignant behavior

Further, cytology is a very useful screening modality in patients of GIST and EGIST to detect early recurrence and metastasis at follow-up


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