@entity1820 smaller than 20  mm with liver XXXX .

@entity1 @entity808 @entity66 @entity96 @entity75 @entity5 @entity409 @entity1820 @entity3 @entity361 @entity2909 @entity356
There have been no reports of @entity1820 (GISTs) <20  mm with distant @entity3 . We report a case of a 15-mm @entity356 with liver @entity3 1  year after surgical resection of the @entity75 . A 35-year-old @entity1 underwent routine esophagogastroduodenoscopy in July 2009. A @entity5 ( @entity5 ) <20  mm was incidentally detected at the posterior wall of the gastric body. Endoscopic ultrasound (EUS) indicated that it was a gastrointestinal @entity361 , including GIST, @entity2909 or @entity808 . He did not accept regular follow-up for this gastric @entity5 , therefore local laparoscopic excision was carried out in October 2009. The final pathological diagnosis after surgery was GIST, 15  mm in size, and a mitotic rate of 7/50 high-power fields, which did not indicate a high metastatic risk. The @entity1 was followed up regularly without adjuvant chemotherapy. At 1  year after surgery, a space-occupying lesion ~15  mm was detected in the left lobe of the liver by abdominal ultrasound, where no @entity66 had been observed before surgery. To make a definite diagnosis of the @entity409 , EUS-guided fine-needle aspiration was performed, which demonstrated a metastatic @entity96 from a @entity356 . Although this was a rare case, we should keep in mind that gastric GISTs do have a chance of malignant behavior, even if <20  mm.
