Gastric Cancer: Chad's Patient Story

Patient Info: Chad White, Male

Four years after surgery, Chad was active in physique competitions and building a fitness and nutrition business.

Gastric Cancer: Rosie's Patient Story

Patient Info: Rosie Rosanna Fiorino, Under 40

Rosie described herself as a stomach-cancer survivor and celebrated 17 years since total gastrectomy while continuing patient-support work.

Rare gastric carcinosarcoma with AFP-producing hepatoid adenocarcinoma

Patient Info: Anonymized, female, 70+

Biomarkers: AFP-positive

She developed metastatic recurrence and died 8 months after gastrectomy.

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Two early EBV-positive gastric cancers in one patient with H. pylori infection

Patient Info: Anonymized, male, 60s | Stage I

Biomarkers: EBV-positive

Three years after surgery, he was in good health with no recurrence or metastases.

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Locally invasive gastric cancer treated with chemotherapy followed by curative surgery

Patient Info: Anonymized, male, 70+ | Stage III

Biomarkers: HER2-negative

Six months after surgery, CT showed no recurrence.

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Stage III gastric sarcomatoid carcinoma treated with surgery and chemotherapy

Patient Info: Anonymized, female, 50s | Stage III

She was alive and healthy at telephone follow-up 3 years after surgery.

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Stage III gastric carcinosarcoma treated with surgery

Patient Info: Anonymized, male, 70+ | Stage III

He died 1 month after surgery from cachexia and asphyxia related to gastroesophageal reflux.

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Ramucirumab and paclitaxel for metastatic gastric cancer in a patient receiving hemodialysis

Patient Info: Anonymized, male, 60s | Stage IV

Biomarkers: HER2-negative

Metastatic Site: liver, distant lymph nodes

After about 16 months of disease control on paclitaxel plus ramucirumab, multiple liver metastases and distant lymph nodes progressed. Third-line irinotecan was stopped after severe toxicity, and supportive care followed.

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Stage II Gastric Cancer: Mawar's Patient Story

Patient Info: Mawar, female | Stage II

Mawar chose to discontinue further treatment after surgery and chemotherapy and focused on family life while remaining concerned that the gastric cancer could worsen.

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Stage II Gastric Cancer: Miguel's Patient Story

Patient Info: Miguel | Stage II

Miguel had completed chemotherapy and surgery and continued recovering while managing dumping syndrome, malabsorption and nutritional needs.

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Stage II Gastric Cancer: Andy's Patient Story

Patient Info: Andy | Stage II

Andy was still undergoing treatment and reported that targeted therapy was the current treatment.

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Synchronous signet-ring gastric cancer and renal-cell cancer treated in one operation

Patient Info: Anonymized, female, 60s

She remained under active monthly surveillance. CT imaging and laboratory testing showed no evidence of gastric-cancer relapse or distant metastases.

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Sjögren syndrome during nivolumab treatment for HER2-positive metastatic gastric cancer

Patient Info: Anonymized, male, 60s | Stage IV

Biomarkers: HER2-positive

Metastatic Site: liver, lungs, adrenal gland

One year after nivolumab was stopped, the shrinkage of lung metastases was maintained and the adrenal metastasis remained unchanged, although severe dry-mouth symptoms from treatment-related Sjögren syndrome persisted.

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Dural metastasis causing seizures after treatment for signet-ring gastric cancer

Patient Info: Anonymized, female, Under 40 | Stage IV

Metastatic Site: dura mater

She died 16 days after hospital admission for neurologic symptoms, roughly 8 months after the original gastric-cancer diagnosis, following rapid deterioration from diffuse dural metastatic disease.

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Five years recurrence-free after surgery for a solitary splenic metastasis from gastric cancer

Patient Info: Anonymized, male, 70+ | Stage IV

Metastatic Site: spleen

He remained well without recurrence for 5 years after splenectomy for the solitary gastric-cancer metastasis.

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Mixed adenocarcinoma and neuroendocrine gastric cancer found in the gastric remnant

Patient Info: Anonymized, male, 70+

At 1-year follow-up, endoscopy and CT showed no local recurrence or lymph-node metastasis.

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Primary Gastric Melanoma Removed With Total Gastrectomy

Patient Info: Anonymized, Male, 50s

Biomarkers: Melan-A positive; HMB45 positive

PET-CT at 6 months showed no recurrence, and he remained asymptomatic at 1 year. He continued surveillance every 6 months.

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Primary gastric squamous cell carcinoma mistaken for a submucosal tumor

Patient Info: Anonymized, male, 60s | Stage III

At 6 months after surgery, follow-up CT showed no metastatic disease. He had declined adjuvant chemotherapy.

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Gastric Cancer: Emily's Patient Story

Patient Info: Emily Aldrich, Under 40

Biomarkers: CDH1 mutation

After recovery, the patient returned to exercise, regained the 8 pounds lost after surgery and later became pregnant with a first child.

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Steroid treatment for severe narrowing after gastric cancer surgery

Patient Info: Anonymized, male, 70+

The postoperative anastomotic narrowing improved, and he required no dietary restrictions for 6 months after completing systemic steroid treatment.

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Chemotherapy and Surgery for Recurrent Oesophagogastric Junction Cancer

Patient Info: Anonymized, Male

The recurrent tumor was completely removed after chemotherapy. Two years after the second operation, he remained well with no recurrence.

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Cutaneous lymphatic spread after Stage III gastric cancer with signet-ring cells

Patient Info: Anonymized, female, 70+ | Stage IV

Metastatic Site: bone, distant lymph nodes, skin

After metastatic spread to bone, distant lymph nodes and skin, she developed respiratory failure and died despite palliative treatment.

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Rapidly growing Stage I gastric neuroendocrine carcinoma found during close endoscopic follow-up

Patient Info: Anonymized, female, 70+ | Stage I

She remained free of recurrence and metastasis for 18 months after surgery.

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Gastric adenocarcinoma with a rare choriocarcinoma component and rapid liver and lung spread

Patient Info: Anonymized, male, 60s | Stage IV

Biomarkers: HER2-positive

Metastatic Site: liver, lung

Rapid liver and lung metastatic progression caused bleeding from a liver metastasis. He declined further treatment and died from hemorrhagic shock 18 days after his final discharge.

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