---
title: 5 Metastatic Liver Lesions of a GIST
description: Tissue sparing approach for five metastatic liver lesions of a Gastrointestinal Stromal Tumor (GIST). All successfully treated in one continueous session.
image: https://www.cascination.com/hubfs/Case_Leeds_IRE_Overview-1.png
---

 Friday, 27 November 2020

# 5 Metastatic Liver Lesions of a GIST

5 Metastatic Liver Lesions of a GIST

2:05

 

**Tissue sparing approach for five metastatic liver lesions of a Gastrointestinal Stromal Tumor (GIST). All successfully treated in one continueous session. ****Quality Ablation was preferred over surgical resection to facilitate a speedy recovery after the intervention, offer the patient a better quality of life and preserve options for future treatment, since the patient is likely to develop more metastatic lesions over time.**

![Case_Antwerp_2020_Overview](https://www.cascination.com/hs-fs/hubfs/Case_Antwerp_2020_Overview.png?width=773&name=Case_Antwerp_2020_Overview.png)

 

1. Ablation Validation after treatment of lesion in Seg I  
2. Ablation Validation of lesion close to gallblader  
3. Ablation Validation of lesion in liver dome  
4. Ablation Validation of lesion in Seg V

 

---

**Name: **Prof. Dr. Thiery Chapelle & Dr. Bart Op de Beeck 

---

**Institution:** [Antwerp University Hospital](https://www.uza.be/english), Antwerp, Belgium

---

**Patient age and sex: ** 76 years, female

---

**Initial condition:**

- 2014, small intestine perforation with characteristics that fit a Gastrointestinal Stromal Tumor (GIST)
- Diagnosis Gastrointestinal Stromal Tumor (GIST), T2Nx was confirmed through biopsy
- After surgery start adjuvant glivec for three years
- Small intestine was resected after discovery of GIST
- Patient has arterial hypertension
- 2020, five metastatic liver lesions from the GIST

---

**Planingvideo of the needle trajectories**

 

---

**Treatment:** 

- Treatment strategy: Quality Ablation or major surgical resection
- Decision for minimally invasive intervention to preserve parenchyma for future treatment options, because patient is likely to develop more metastatic lesions over time
- Resection in this case would mean removing several sections of the liver, which would affect the function of the liver and also result in a long hospitalization and recovery.

---

**Result:**

- With Quality Ablation the most tissue sparing approach was chosen, to facilitate a speedy recovery, offer the patient a better quality of life and preserve options for future treatment, since the patient is likely to develop more metastatic lesions over time

---

Learn more about the stereotactic navigation system [CAS-One IR](https://www.cascination.com/products/cas_one_ir?hsLang=en).

 

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