{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:33:30Z","timestamp":1790282010765,"version":"4.1.0"},"reference-count":41,"publisher":"Baishideng Publishing Group Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Surg"],"abstract":"<jats:p>Tumour rupture of gastrointestinal stromal tumours (GISTs) has been considered to be a remarkable risk factor because of its unfavourable impact on the oncological outcome. Although tumour rupture has not yet been included in the current tumor-node-metastasis classification of GISTs as a prognostic factor, it may change the natural history of a low-risk GIST to a high-risk GIST. Originally, tumour rupture was defined as the spillage or fracture of a tumour into a body cavity, but recently, new definitions have been proposed. These definitions distinguished from the prognostic point of view between the major defects of tumour integrity, which are considered tumour rupture, and the minor defects of tumour integrity, which are not considered tumour rupture. Moreover, it has been demonstrated that the risk of disease recurrence in R1 patients is largely modulated by the presence of tumour rupture. Therefore, after excluding tumour rupture, R1 may not be an unfavourable prognostic factor for GISTs. Additionally, after the standard adjuvant treatment of imatinib for GIST with rupture, a high recurrence rate persists. This review highlights the prognostic value of tumour rupture in GISTs and emphasizes the need to carefully take into account and minimize the risk of tumour rupture when choosing surgical strategies for GISTs. <\/jats:p>","DOI":"10.4240\/wjgs.v15.i8.1784","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T23:37:09Z","timestamp":1692920229000},"page":"1784-1798","source":"Crossref","is-referenced-by-count":3,"title":["Maternal choledochal cysts in pregnancy: A systematic review of case reports and case series"],"prefix":"10.4240","volume":"15","author":[{"given":"Goran","family":"Augustin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Romic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iva","family":"Mili\u010di\u0107","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mislav","family":"Miku\u0161","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mislav","family":"Herman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2023,8,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199508000-00004"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/0011-3840(92)90025-x"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(77)90359-2"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.01.025"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1080\/13651820701646198"},{"key":"B6","unstructured":"Hopkins NF, Benjamin IS, Thompson MH, Williamson RC. Complications of choledochal cysts in adulthood. Ann R Coll Surg Engl  1990; 72: 229-235"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-020-02138-6"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-020-04896-w"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.05.017"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.2302\/kjm.38.136"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/s1015-9584(09)60254-2"},{"key":"B12","doi-asserted-by":"crossref","unstructured":"Lavenson RS. Cyst of the common bile duct. Am J Med Sci 1909; 137: 563-570","DOI":"10.1097\/00000441-190904000-00011"},{"key":"B13","unstructured":"Kato T. Experimental studies on pathogenesis of idiopathic dilatation of the biliary duct. J Jpn Soc Pediatr Surg 1972; 7: 533-548"},{"key":"B14","unstructured":"Babbitt DP. [Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb]. Ann Radiol (Paris)  1969; 12: 231-240"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.2049"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90083-8"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-2-199307150-00004"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/0009-8981(83)90114-6"},{"key":"B19","unstructured":"Bakos E, Mlyncek M, Dubaj M, Durcansk\u00fd D, Bakos M, Korcek J, Jankovic T. [Choledochal cyst complication of pregnancy]. Rozhl Chir  2007; 86: 236-240"},{"key":"B20","unstructured":"Alizadeh SA, Ahrari KH, Alizadeh MR. A case report on the choledochal cyst in pregnancy.  J Shahid Sadoughi Univ Med Sci 2014; 22: 1586-1591"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/670260"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000001827"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07473-z"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.4103\/npmj.npmj_242_20"},{"key":"B25","unstructured":"Ullah AO, Amin MR. Study of Operative Events and Time Requirement of Hepaticoduodenostomy for the Treatment of Type I Choledochal Cyst- the Experience at BSMMU Hospital. Mymensingh Med J  2023; 32: 454-458"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16011"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.05.022"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i32.5207"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.009"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.36186"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1016\/s0168-8278(97)80146-8"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1988.tb00422.x"},{"key":"B33","doi-asserted-by":"crossref","unstructured":"Gong L, Qu Q, Xiang X, Wang J. Clinical analysis of 221 cases of adult choledochal cysts. Am Surg  2012; 78: 414-418","DOI":"10.1177\/000313481207800430"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.4103\/1319-3767.98425"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.04.004"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.3109\/00365521003675054"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i6.982"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.5754\/hge10827"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198705000-00012"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198802000-00005"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.04.023"}],"container-title":["World Journal of Gastrointestinal Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v15\/i8\/1784.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v15\/i8\/1784.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T23:38:40Z","timestamp":1692920320000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v15\/i8\/1784.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,27]]},"references-count":41,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.4240\/wjgs.v15.i8.1784","relation":{},"ISSN":["1948-9366"],"issn-type":[{"value":"1948-9366","type":"print"}],"subject":[],"published":{"date-parts":[[2023,8,27]]}}}