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Gan To Kagaku Ryoho. 2012 Nov;39(12):2015-7.

[A case of hepatectomy for gastrointestinal stromal tumor with multiple liver metastasis after size reduction in a Jehovah's Witness patient].

[Article in Japanese]

Author information

  • 1Dept. of Surgery, Fukuoka Tokushukai Medical Center, Japan.


The patient is a 42-year-old man who is a Jehovah's Witness. For the duodenal gastrointestinal stromal tumor, duodenal segmental resection and a duodenal jejunum anastomosis were indicated. He took imatinib for 2 years after the operation. After 8 months, recurrent multiple liver metastases were found at S2-3 and S7, which were in contact with the inferior vena cava. Excessive intraoperative bleeding was expected. The patient hoped that a blood transfusion operation would not be required. He took sunitinib to reduce the size of the tumor, and the tumor had become smaller after 8 months. It was possible to resect the tumor without a blood transfusion. The patient has been on imatinib since 1 month after the operation. No recurrence was detected within 1 year of the operation.

[PubMed - indexed for MEDLINE]
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