AI Article Synopsis
- In 2004, he developed a solitary liver metastasis but had no other signs of cancer, leading to a successful liver surgery (hepatectomy) to remove it.
- After more than a year post-surgery, he remains cancer-free, highlighting the importance of monitoring patients for over a decade after treatment for high-risk GISTs.
Article Abstract
A 58-year-old Japanese man underwent partial gastrectomy in 1991 for a tumor showing extra-gastric growth measuring 18 x 16.5 x 8.8 cm in size. An immunohistochemical study yielded a diagnosis of gastric GIST with few mitoses. In 2004, abdominal CT showed a solitary liver metastasis without extrahepatic recurrence and right hepatic lobectomy was performed. No adjuvant treatment has been done and he is alive without recurrence 1 year after the hepatectomy. Long term follow-up of more than 10 years is required after resection of primary tumors if they are diagnosed as high risk GISTs with few mitoses.
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