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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Nivolumab-related IgA kidney disease during treatment for Stage IV gastric cancer

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

The gastric tumor regrew while nivolumab was withheld. Kidney function improved with steroids, but recurrent pneumonia and poor performance status prevented immunotherapy from restarting.

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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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Vision changes leading to diagnosis of unresectable gastric adenocarcinoma

Patient Info: Anonymized, male, 50s

With unresectable gastric adenocarcinoma and poor overall condition, he did not start chemotherapy and chose palliative care.

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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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Portal-vein thrombosis after surgery and chemotherapy for Stage III gastric cancer — Case 1

Patient Info: Anonymized, female, 40s | Stage III

At 6 months of follow-up after treatment for the thrombosis, no hepatic decompensation or liver cirrhosis had developed.

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Portal-vein thrombosis after surgery and chemotherapy for Stage III gastric cancer — Case 2

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

Two months into follow-up after the thrombosis, no hepatic decompensation or liver cirrhosis had been identified.

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Stage IV Gastric Cancer: Faye's Patient Story

Patient Info: Faye Hood, female, 70+ | Stage IV

After surgery and heated intraperitoneal chemotherapy, Faye recovered, returned to exercise and completed a half-marathon 1 year later.

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Gastric cancer diagnosed during late pregnancy after severe gastrointestinal bleeding

Patient Info: Anonymized, female, 40s

Biomarkers: HER2-negative

Six months after emergency surgery, chemotherapy and radiation were still ongoing.

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Gastric cancer with an unexpected appendix metastasis

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

Metastatic Site: appendix

PET/CT at 6, 12 and 18 months showed no recurrence, giving at least 18 months with no evidence of disease after treatment.

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Stage III Gastric Cancer: Abdul's Patient Story

Patient Info: Abdul | Stage III

Abdul later stopped further treatment and focused on spending meaningful time with family while living with gastric cancer.

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Clival skull-base metastasis during treatment for Stage IV gastric cancer

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

Biomarkers: HER2-negative

Metastatic Site: peritoneum, cervical lymph nodes, pelvic bone, lungs,…

At publication he was alive on fourth-line treatment, with no disease progression for 6 months after the clival metastasis was treated and with sustained improvement in his cranial-nerve symptoms.

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Stage II Gastric Cancer: Drew's Patient Story

Patient Info: Drew | Stage II

By late 2023, more than 3 years after diagnosis, Drew had completed treatment and was no longer taking medication while continuing to adjust diet and daily life after treatment.

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Stage I Gastric Adenocarcinoma: Kaisu's Survivor Story

Patient Info: Kaisu, female | Stage I

Kaisu reported being cancer-free since November 2020 after chemotherapy and total gastrectomy, while continuing to manage lasting treatment and surgery effects.

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Fatal Emphysematous Gastritis in a Woman With Gastric Cancer

Patient Info: Anonymized, Female, 70+

The stomach-wall infection improved, but oral feeding remained impossible because of cancer-related gastric stasis. She later developed acute pancreatitis and died.

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Fundic gland-type gastric adenocarcinoma followed over 19 years

Patient Info: Anonymized, male, 70+

Three months after endoscopic resection, no local recurrence was seen while he continued surveillance after declining additional surgery.

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Severe reversible neurologic toxicity after apatinib for metastatic gastric cancer

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

Metastatic Site: bone, adrenal glands

At follow-up in April 2019, he was alive and independent about 7 years after his Stage IV diagnosis, with apatinib permanently stopped after the neurologic toxicity.

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Stage IV gastric cancer presenting with chylothorax and lymphedema

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

Biomarkers: HER2-negative

Metastatic Site: distant lymph nodes, pleura, peritoneum

She died 6 months after the Stage IV gastric-cancer diagnosis despite chemotherapy and repeated treatment of the malignant pleural effusions.

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Reversible Heart Dysfunction After FLOT Chemotherapy for Gastric Cancer

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

Her speech recovered within hours and heart function returned to an ejection fraction of 65% within 1 week. Gastric-cancer treatment continued with carboplatin and paclitaxel.

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Gastric Cancer Metastasis to the Hand Treated With Radiation

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

Metastatic Site: liver|adrenal glands|left hand bones

Radiation relieved the hand pain and swelling and restored movement. At 6 months, he remained alive and pain-free in the hand, while the underlying metastatic gastric cancer remained present.

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Synchronous gastric adenocarcinoma and hilar cholangiocarcinoma

Patient Info: Anonymized, male, 60s

Biomarkers: HER2-negative

He died in February 2018 after multiple abdominal metastases were detected, about 10 months after the combined cancer surgery.

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Primary gastric squamous cell carcinoma with early chest metastases

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

Biomarkers: HER2-negative

Metastatic Site: lungs, distant lymph nodes

Twelve months after chemotherapy began, the metastatic chest lesions had not progressed and showed minor regression.

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Gastric Choriocarcinoma With Adenocarcinoma and Rapid Liver Metastases After Surgery

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

Biomarkers: β-hCG positive; serum β-hCG 972.1 mIU/mL after diagnosis

Metastatic Site: liver

Multiple liver metastases appeared 2 months after discharge, and she died from hepatic failure 5 months after surgery.

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