A case of gastrointestinal stromal tumor of small intestine surviving over 14 years by 5 repeated resections

Abstract

IN December of 1994 a 65-year-old woman underwent her first operation for small intestinal tumor, and the case was diagnosed as a smooth muscle sarcoma. In Aug. 1997, hepatectomy was performed for a liver mass, which was diagnosed as a metastasis. In Nov. 2000, multiple metastases in the omentum were excised and diagnosed as CD34-positive GIST. Laparoscopic lymphnode-dissection of the right common iliac artery was undertaken, in June of the next year, and it was metastasis of the GIST. In July 2002, A tumor appeared in liver S7, and radio frequency thermal therapy (RFA) was conducted twice. A tumor appeared in liver S8, and, in August 2004, a partial liver resection was enforced. In Feb. 2007, an operation was undertaken with the diagnosis of right ovary tumor, She is living now in March, 2008 and is under observation while receiving imatinib on an outpatient basis. There are many reports of aggressively performing radical operations for patients with a long time between their first operation and recurrence. We intend to perform radical operations for later recurrences as much as possible.