Recovery from a severe duodenal fistula after gastric cancer surgery

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

He was in good health with no recurrence or metastasis 2 years after the original gastric-cancer surgery.

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Stage IV gastric cancer complicated by paraneoplastic dermatomyositis during nivolumab treatment

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

Metastatic Site: liver, lung, abdominal cavity

He died from rapidly worsening gastric cancer 142 days after the first nivolumab dose, roughly 14 months after his April 2017 diagnosis.

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Mixed adenocarcinoma-neuroendocrine gastric cancer progressing after multiple treatments

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

Biomarkers: HER2-negative

Metastatic Site: liver

After progression through several treatments and development of liver metastasis, he was taking apatinib at the latest update.

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Gastric Cancer Presenting as a Thickened Neck Skin Plaque

Patient Info: Anonymized, Male, 60s | Stage Metastatic/Advanced

Biomarkers: CK7 positive; ER negative; PR negative; GCDFP negative

Metastatic Site: skin of the neck

He declined further management and died within 3 months of presentation.

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Metastatic gastric cancer with suspected spread to an extraocular muscle

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

Metastatic Site: ovary, mesentery, neck subcutaneous tissue, thoracic…

She died 3 months after the eye presentation, more than 2 years after the gastric-cancer diagnosis.

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Gastric Cancer: Connie's Survivor Story

Patient Info: Connie Campbell, Female

Pathology after endoscopic submucosal dissection found no residual cancer, and two surveillance endoscopies confirmed that Connie remained cancer-free.

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Gastric cancer causing obstructive jaundice after prior Billroth II surgery

Patient Info: Anonymized, male, 70+

After biliary stenting and inpatient rehabilitation, he was discharged home with palliative support.

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Mucinous gastric cancer presenting with an iris metastasis

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

Metastatic Site: iris, peritoneum, para-aortic and mesenteric lymph…

She died of aspiration pneumonia 8 months after presentation. Autopsy confirmed persistent invasive gastric cancer with metastatic spread.

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Combined surgery for synchronous esophageal and gastric cancers — Case 2

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

He was living normally without recurrence 12 months after surgery for the synchronous cancers.

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Combined surgery for synchronous esophageal and gastric cancers — Case 3

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

He was living normally without recurrence 6 months after surgery for the synchronous cancers.

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Stage I gastric mucinous adenocarcinoma alongside primary esophageal melanoma

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

He died 3 months after the combined surgery for the gastric cancer and esophageal melanoma.

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Combined surgery for synchronous esophageal and gastric cancers

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

He was doing well without recurrence 23 months after surgery for the synchronous Stage I gastric and esophageal cancers.

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Gastric cancer causing outlet obstruction and esophageal perforation

Patient Info: Anonymized, male, 60s

After nearly 3 months in hospital, he was eating a regular diet and walking independently and had been referred for adjuvant oncology evaluation.

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Stage III Gastric Cancer: Holly's Patient Story

Patient Info: Holly Clegg, Female | Stage III

She was receiving hospice support at home while continuing gastric-cancer advocacy and fundraising.

Gastric Cancer: Brian's Survivor Story

Patient Info: Brian

Brian reported being declared cancer-free in June 2022 after a partial gastrectomy and continued follow-up with medical teams.

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Perforated gastric cancer treated with staged surgery, HIPEC and chemotherapy

Patient Info: Anonymized, male, 60s

Adjuvant capecitabine plus oxaliplatin began one month after surgery. At the 6-month follow-up, he was eating without discomfort and had no other symptoms.

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Severe dumping syndrome after gastrectomy for gastric cancer

Patient Info: Anonymized, Male, 60s

A 68-year-old man developed severe early dumping syndrome with shock after a previous total gastrectomy for gastric cancer.

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Gastric adenocarcinoma treated with total gastrectomy in a man with CTLA4 insufficiency

Patient Info: Anonymized, male, Under 40

Biomarkers: CTLA4 mutation

He died from Klebsiella pneumonia sepsis 25 months after total gastrectomy.

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Teenage-onset gastric adenocarcinoma followed by 7 years of complete remission

Patient Info: Anonymized, male, Under 40

Biomarkers: CTLA4 mutation; EBV-negative

He remained in complete remission for 7 years after total gastrectomy.

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Poorly differentiated gastric cancer treated surgically in a woman with CTLA4 insufficiency

Patient Info: Anonymized, female, Under 40

Biomarkers: CTLA4 mutation; EBV-negative

She had no gastric-cancer relapse for more than 3 years after subtotal gastrectomy.

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EBV-associated gastric cancer recurring after endoscopic resection in a woman with CTLA4 insufficiency

Patient Info: Anonymized, female, 40s

Biomarkers: CTLA4 mutation; EBV-associated

She reached complete remission after total gastrectomy for the recurrence and was about 3 years beyond that surgery at the latest description.

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In situ gastric adenocarcinoma treated endoscopically in a man with CTLA4 insufficiency

Patient Info: Anonymized, male, 40s

Biomarkers: CTLA4 mutation; EBV-associated

Six months after endoscopic resection, gastroscopy showed quiescent tubular adenomas with low-grade dysplasia and ongoing endoscopic surveillance was planned.

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AFP-producing hepatoid gastric cancer with neuroendocrine differentiation

Patient Info: Anonymized, male, 60s

Biomarkers: AFP-producing; synaptophysin-positive; chromogranin A-positive

At 6 months after surgery, AFP had risen above 2,000 ng/mL while CT showed no obvious abnormality. He declined PET/CT and left the hospital.

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Managing severe hypothyroidism before surgery for obstructing gastric cancer

Patient Info: Anonymized, Male, 50s

A 53-year-old man with an obstructing gastric adenocarcinoma needed urgent correction of severe hypothyroidism before cancer surgery could proceed.

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