specific differentiation. 1,10 Therefore in 2012, Stockman et al. first designated the distinct entity as 'malignant gastrointestinal neuroectodermal tumour'. 1 According to available current data, the biological behaviour of malignant GNET is highly malignant and almost all of the reported cases followed an aggressive clinical course with local recurrence in the short term, and metastasis to lymph nodes or hematogenous spread early or even at initial diagnosis. However, our case presented an indolent clinical course. The patient had evidence of the tumour from the age of 37, which progressed slowly for 10 years without any medical intervention. After excision of the tumour, the patient was alive without evidence of disease for 8 months. Interestingly, Prado et al. have reported one case of indolent GNET of the colon which also had a 10 year long clinical course. 11 Our case still needs further follow-up observation to evaluate long-term outcome.