The 6th Opinion

Patient Info: Anonymized, Female, 50s | Stage IV

Her daughters were documenting her ongoing Stage IV cancer journey and their family experience.

Gastric Cancer: Rajen's Patient Story

Patient Info: Rajen Sankar, Male, Under 40

He died from stomach cancer in 2008 at age 37.

Lorita: Sandra Sankar Poukkula

Patient Info: Sandra Sankar Poukkula, Female, Under 40 | Stage Metastatic/Advanced

The cancer later spread to other parts of her body, and she died on January 13, 2012, at age 39.

Gastric Cancer: Adriana's Patient Story

Patient Info: Adriana Walsh, Female, Under 40

Biomarkers: CDH1 mutation

At age 21, Adriana was recovering positively after total gastrectomy and sharing her experience through Young and Stomachless.

Lorita: Her Mother’s Diffuse Gastric Cancer

Patient Info: Anonymized, Female, 50s

She had recently been diagnosed in May 2012, and her family was beginning to navigate the illness.

Stage I signet-ring gastric cancer treated with laparoscopic distal gastrectomy despite unusual abdominal blood vessels

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

At 6 months after surgery, she remained without recurrence.

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Stage IV gastric adenocarcinoma causes inferior vena cava compression and severe leg swelling

Patient Info: Anonymized, Female, 50s | Stage IV

Biomarkers: HER2-positive

Metastatic Site: omentum

At the latest follow-up, she was receiving cycle 5 of paclitaxel and trastuzumab. Her appetite, energy and leg edema had improved, although abdominal bloating persisted.

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Severe gastrointestinal bleeding and perforation during apatinib treatment for metastatic gastric cancer

Patient Info: Anonymized, Female, 50s | Stage IV

Biomarkers: HER2 IHC 2+; FISH negative for HER2 amplification

Metastatic Site: peritoneum, ileum

She died on February 23, 2015 after gastrointestinal perforation, septic shock and multiple organ dysfunction during progressive metastatic disease.

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Stage I gastric cancer treated with laparoscopic total gastrectomy in a man with situs inversus

Patient Info: Anonymized, Male, 50s | Stage I

He was alive without recurrence or symptoms 4 years after surgery.

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Early gastric adenocarcinoma removed endoscopically before a separate gastric cancer developed

Patient Info: Anonymized, Male, 70+

Annual endoscopic surveillance showed no recurrence of the first gastric cancer; about 2 years later, a separate metachronous gastric primary was detected elsewhere in the stomach.

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Metachronous gastric adenosquamous carcinoma spreads to the liver after endoscopic resection

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

Metastatic Site: liver

He died from gastric cancer 27 months after endoscopic resection of the metachronous adenosquamous carcinoma.

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Early gastric adenocarcinoma found with Strongyloides infection in the stomach and duodenum

Patient Info: Anonymized, Male, 70+

At 4 months after surgery, follow-up monitoring found no observable abnormalities.

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Large locally invasive gastric adenocarcinoma with a gastrocutaneous fistula treated by multivisceral surgery

Patient Info: Anonymized, Female, 70+

Biomarkers: chromogranin-positive; CD56-positive

She developed severe respiratory distress and pneumonia on postoperative day 10 and died 20 days after surgery despite antibiotics and intensive care.

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Gastric signet-ring cell adenocarcinoma spreads to the urinary bladder

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

Metastatic Site: urinary bladder

At the latest documentation, palliative chemotherapy had been started for metastatic gastric cancer involving the urinary bladder.

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Stage IV signet-ring gastric cancer first presents with painful skeletal muscle metastases

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

Metastatic Site: skeletal muscle

He died of progressive gastric cancer in June 2013, about 3 months after presentation.

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My Road To Awareness

Patient Info: Anonymized, Female | Stage Metastatic/Advanced

Jessica’s mother died in January 2005 after about 5 months of advanced stomach cancer, surgery, postoperative complications, and rapid progression.

Tripe palms help reveal gastric adenocarcinoma in a 43-year-old man

Patient Info: Anonymized, Male, 40s

A 43-year-old man with weight loss, fatigue and thickened velvety palms was found to have gastric adenocarcinoma after the unusual skin finding prompted gastrointestinal evaluation.

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Tripe palms and weight loss lead to a gastric adenocarcinoma diagnosis in a woman with diabetes

Patient Info: Anonymized, Female, 50s

A 51-year-old woman with diabetes, weight loss and new thickened velvety palms was found to have gastric adenocarcinoma after her symptoms had initially been attributed to diabetes treatment.

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Acute acalculous cholecystitis causes septic shock after gastrectomy for gastric adenocarcinoma

Patient Info: Anonymized, Male, 60s

He recovered after emergency surgery for postoperative acute acalculous cholecystitis and septic shock. Two months later, the gallbladder drainage tube was removed and he had no further related discomfort.

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Postoperative acalculous cholecystitis and sepsis after gastrectomy for gastric adenocarcinoma

Patient Info: Anonymized, Male, 70+

He died 42 days after surgery from severe multiple-organ dysfunction and septic shock following postoperative acute acalculous cholecystitis, pulmonary infection and heart failure.

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Acalculous cholecystitis treated with drainage after surgery for advanced gastric mucinous adenocarcinoma

Patient Info: Anonymized, Male, 70+

After readmission with postoperative acute acalculous cholecystitis, percutaneous gallbladder drainage and antibiotics relieved his fever and abdominal pain. He was discharged 5 days after readmission, and the drainage tube was removed on day 19.

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Persistent fever leads to the diagnosis of gastric adenosquamous carcinoma in a 73-year-old man

Patient Info: Anonymized, Male, 70+

At nearly 20 months after surgery, CT follow-up showed no recurrence and he was in good health.

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Stage IV gastric adenocarcinoma presents with nonbacterial thrombotic endocarditis and stroke

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

Metastatic Site: omentum, peritoneum

He remained on anticoagulation for nonbacterial thrombotic endocarditis and was being followed by oncology for chemotherapy.

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Gastric adenocarcinoma is found after repeated ulcer biopsies remain negative

Patient Info: Anonymized, Male, 40s

He recovered well after surgery, received adjuvant chemotherapy and continued regular outpatient follow-up.

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