“…In spite of radical excision, more than 72 % patients with GANTs die few months after surgery with local recurrences and/or metastases in the liver; 23 , 54 hence, the disease is considered fatal even after an apparently adequate surgical excision. 21 65 The liver is considered the most common reported site for GANT metastases. Nevertheless, metastases to the lungs, adrenal glands, bone, and musculoskeletal system have been reported.…”