Abstract
A 54-year-old man had a left adrenal gland abnormality and underwent surgery with a preoperative diagnosis of left adrenal tumor based on an imaging study. The pathological examination revealed the tumor to be a gastrointestinal stromal tumor (GIST) growing out of the gastric wall.
He was diagnosed with multiple metastatic liver tumors 2 years and 2 months after the first surgery and underwent a partial hepatectomy. Due to the frequent recurrence of multiple liver metastases, he also underwent three radiofrequency ablations. As the period from treatment to recurrence became shorter, we started oral imatinib therapy, and he remained recurrence free for 6 years and 7 months after the first recurrence. Although imatinib administration is the first-choice therapy for recurrent GIST, one must consider active surgical treatment for resectable lesions, in particular for patients with a long period between their first treatment and recurrence.
