DOI: 10.36347/sjmcr.2021.v09i02.008

Pages: 138-140

Gastrointestinal stromal tumors (GISTs) are mesenchymal tumors of the gastrointestinal tract that are most commonly seen in the stomach followed by small intestine and rectum. Malignant potential of GIST is detected in approximately 40-50% of GIST in small intestine and in about 20-25 % of gastric GIST which is less and although if it has malignant potential there are very less chances of metastasis. Although GISTs can spread to the liver and peritoneum, metastasis to the iliac region is very rare. Here, we report the rare case of a distant recurrence in the left iliac fossa after diagnosis of GIST with liver metastasis and adjuvant imatinib therapy for one year. 2 years after therapy completion, the patient presented with pain abdomen. Ultrasound imaging revealed a space occupying lesion liver? metastatic, This is the rare case report of a distant metastasis of a GIST in the left iliac fossa after completion of therapy on imatinib.