Large Gastric Carcinosarcoma Removed With Partial Stomach Surgery

Patient Info: Anonymized, Female

Biomarkers: Pancytokeratin positive; CK7 positive; vimentin positive; DOG-1 negative; CD117 negative; calretinin negative; SMA negative; S100 negative

She recovered without postoperative complications and remained asymptomatic for 3 months. At 6 months, she died after intensive-care admission for a lower urinary tract infection and urosepsis.

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Painful eye metastasis from Stage IV gastric cancer

Patient Info: Anonymized, male | Stage IV

Metastatic Site: bone, choroid of left eye

The eye surgery relieved his pain, but he died 2 months later.

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Stage IV Stomach Cancer With Recurrent Bowel Obstruction and Severe Pain

Patient Info: Anonymized, Male | Stage IV

Metastatic Site: splenic flexure|perineal nodule

He remained on palliative treatment more than 6 months after the described admission and had 3 additional hospitalizations for recurrent partial small-bowel obstruction, all managed without surgery.

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H. pylori-negative early gastric adenocarcinoma that resembled benign gastritis

Patient Info: Anonymized, male, 40s

A 46-year-old man had a small stomach lesion followed for years as an adenoma before endoscopic removal revealed a well-differentiated gastric adenocarcinoma.

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Gastric cancer and a large abdominal aortic aneurysm treated in one operation

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

At 1-year follow-up, CT and upper endoscopy showed no local or distant recurrence.

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Localized Linitis Plastica With Gastric Amyloidosis Followed by Multiple Myeloma

Patient Info: Anonymized, Female

Biomarkers: CA19-9: 47.5 U/mL

She remained in clinical remission for 3 years after gastric cancer treatment, and later CT imaging showed no recurrent gastric disease when multiple myeloma was diagnosed.

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Adrenal metastasis from gastric cancer causing adrenal insufficiency

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

Biomarkers: HER2-negative, PD-L1-negative

Metastatic Site: right adrenal gland

More than 17 months after the metastatic relapse, he was clinically well with no radiological or biochemical signs of active cancer apart from the residual right adrenal lesion.

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Solitary adrenal metastasis after surgery for gastric large-cell neuroendocrine carcinoma

Patient Info: Anonymized, male | Stage IV

Metastatic Site: right adrenal gland

Nine months after removal of the adrenal metastasis, he was alive and August 2022 CT showed no new metastases or tumor recurrence.

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Early signet-ring gastric cancer removed endoscopically with a delayed perforation complication

Patient Info: Anonymized, male, 70+

He recovered from the delayed perforation and perigastric abscess, was discharged on postoperative day 14, and had no abscess recurrence on CT at postoperative day 34.

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Recurrent gastric cancer with bone metastases, venous thrombosis and chylothorax

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

Metastatic Site: bone

Biopsy-confirmed bone recurrence developed more than a year after surgery. He was too unwell for palliative chemotherapy and died a few months after transition to best supportive care.

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Stage IV gastric adenocarcinoma first detected through an appendiceal metastasis

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

Metastatic Site: appendix

He was referred to oncology for Stage IV gastric cancer and started capecitabine chemotherapy.

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Stage II Gastric Cancer: Sagan's Patient Story

Patient Info: Sagan | Stage II

Sagan reported completing cancer treatment and continued taking medicines for treatment-related symptoms while focusing on recovery.

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Stage IV Gastric Adenocarcinoma: Angel's Survivor Story

Patient Info: Angel | Stage IV

Angel was declared cancer-free in August 2024 and described being NED within 1 year of the Stage IV gastric cancer diagnosis.

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Stage II Gastric Adenocarcinoma: Cece's Survivor Story

Patient Info: Cece, 40s | Stage II

Cece reported being cancer-free from April 2024 after total gastrectomy and lymph node removal, while continuing to manage major long-term effects of living without a stomach.

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A suspected gastric cancer recurrence that proved to be a desmoid tumor

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

More than 2 years after gastrectomy, a suspicious abdominal mass proved to be a desmoid tumor rather than recurrent gastric cancer. No gastric cancer recurrence was identified.

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Recurrent gastric cancer with peritoneal spread and a difficult intestinal fistula

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

Metastatic Site: peritoneum

About 10 years after her original gastrectomy, recurrent gastric cancer with peritoneal spread progressed despite palliative procedures. She died 3 months after her final reoperation.

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Early gastric mixed neuroendocrine and adenocarcinoma treated with endoscopic resection and surgery

Patient Info: Anonymized, female, 70+

Annual CT and endoscopic follow-up showed no recurrence or metastasis for 3 years after surgery.

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Stage IV Gastric Cancer: Rachel's Patient Story

Patient Info: Rachel Orth, Female, Under 40 | Stage IV

Rachel previously reported stable metastatic gastric cancer while receiving treatment on a phase I clinical trial. She died in June 2025.

Synchronous gastric and pancreatic adenocarcinomas in a 76-year-old woman

Patient Info: Anonymized, female, 70+

Her health declined with repeated hospitalizations and failure to thrive. She could not tolerate treatment, transitioned to palliative care, and died shortly afterward.

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Gastric Cancer: Alan's Patient Story

Patient Info: Alan Salm, Male, 50s | Stage Metastatic/Advanced

Alan died from stomach cancer on May 5, 2021, 1 month before his 53rd birthday.

Early Gastric Cancer Removed Endoscopically Followed by a Spinal Infection

Patient Info: Anonymized, Male | Stage I

The gastric adenocarcinoma was completely removed with negative margins, and follow-up endoscopy showed only a post-treatment scar without new lesions.

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Early gastric adenocarcinoma mimicking a submucosal tumor

Patient Info: Anonymized, male, 50s

He remained free of local or distant recurrence during 4 years of follow-up after endoscopic resection.

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Metastatic gastric adenocarcinoma first discovered through a malignant pleural effusion

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

Metastatic Site: pleura, lungs, diaphragm, bone

Soon after diagnosis, worsening malignant pleural effusions led to respiratory failure, shock and renal failure. Life-support measures were withdrawn and he was terminally extubated.

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Stage IIB Gastric Cancer With a Gastric-Wall Abscess

Patient Info: Anonymized, Female, 70+ | Stage II

Biomarkers: Synaptophysin positive; CD56 negative; chromogranin A negative; SALL4 negative

The tumor and abscess were removed completely, and no lymph-node metastases were found. She remained disease-free through 22 months of follow-up.

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