Gleevec Administered Preoperatively to Reduce Gastrointestinal Stromal Tumor (GIST)

Inclusion Criteria:

* GIST patient considered initially non-resectable as defined by one of the following:

  1. when the surgical team considers that the risk of incomplete resection (R1 or R2) of a GIST is higher than 20%
  2. when the resection of a GIST necessitates a highly morbid procedure
  3. when a GIST is attached to 3 or more major intra-abdominal structures or to a major intra-abdominal blood vessel
  4. when GIST is considered at very high risk of recurrence. This is the case when it is a recurrence or when the tumor is in very close contact with a structure that cannot be resected by surgery or when the patient has metastasis.
* Outpatient is 18 years old or more
* ECOG performance status 0, 1 or 2
* Immunohistochemical confirmation of KIT overexpression must exist at the study entry
* Measurable disease on CT-Scan or MRI (ultrasound and/or operative finding are not acceptable) and response to RECIST criteria
* Have a life expectancy of at least 6 months
* Be willing and able to comply with the protocol (and surgery if required) for the duration of the study
* Give written informed consent prior to study-specific screening procedure, with the understanding that the patient has the right to withdraw from the study at any time without prejudice

Exclusion Criteria:

* received Imatinib in the past
* received a full course of radiotherapy within 3 months of inclusion in the study. A short course of radiotherapy to control bleeding is allowed.
* received systemic chemotherapy within 4 weeks of inclusion in the study
* received steroids for less than 4 weeks of inclusion in the study
* pregnant or lactating women
* women of childbearing potential with either a positive or no pregnancy test at baseline. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential.
* sexually active males or females (of childbearing potential) unwilling to practice contraception during the study
* history of other malignancy within the past 5 years, except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix
* clinical or other evidence of CNS metastases
* myocardial infarction within the last 3 months
* any medical condition that contraindicates potential surgery
* lack of physical integrity of the upper gastrointestinal tract, malabsorption syndrome or inability to take oral medication
* any serious uncontrolled concomitant disease
* any of the following laboratory values:

  1. absolute neutrophil count \< 1.5 E+09/L
  2. platelet count \< 80000 E+09/L
  3. AST or ALT higher than 2 X normal
* major surgery within 4 weeks prior to start of study treatment, or lack of complete recovery from effects of major surgery
* patients with known or suspected hypersensitivity to one of the Gleevec components.