JOURNAL OF CLINICAL SURGERY ›› 2026, Vol. 34 ›› Issue (8): 950-954.doi: 10.3969/j.issn.1005-6483.20250778

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Controversies and optimization in the clinical diagnosis and treatment of small gastrointestinal stromal tumors

  

  • Received:2025-08-01 Accepted:2025-08-01 Online:2026-08-20 Published:2026-08-20

Abstract: The incidence of small gastrointestinal stromal tumors (GIST) is relatively low.However,thanks to the widespread application of endoscopic screening techniques and the continuous advancement of imaging modalities in recent years,their clinical detection rate has been steadily increasing.Small GIST exhibits biological behavioral heterogeneity,and its clinical management strategies remain controversial.This paper systematically analyzes the core controversial issues in small GIST,including biological behavioral heterogeneity,management of extremely low-risk lesions,selection of surgical approaches,and risk assessment systems.Additionally,it proposes future research directions to advance the precision and individualization of small GIST diagnosis and treatment.

Key words: small gastrointestinal stromal tumors, biological behavioral heterogeneity, endoscopic treatment, risk assessment, prognosis

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