Metastatic gastric cancer returns about 5 years after treatment and causes pulmonary tumor thrombotic microangiopathy

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

Metastatic Site: bone marrow; pulmonary microvasculature

He died of respiratory failure from pulmonary tumor thrombotic microangiopathy on hospital day 45, about 5 years after his initial gastric cancer diagnosis.

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Metastatic gastric cancer recurs 12 years after gastrectomy and severe hypocalcemia follows denosumab

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

Metastatic Site: pleura

She died 68 days after receiving denosumab during progressive recurrent disease, roughly 12 years after her original gastric cancer surgery.

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Metastatic signet-ring gastric cancer spreads diffusely to the thyroid and skin

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

Metastatic Site: thyroid, skin

She died 1 month after hospitalization after her condition worsened despite supportive care.

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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 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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AFP-producing gastric adenocarcinoma causes biliary obstruction without liver metastasis

Patient Info: Anonymized, Female, Under 40

Biomarkers: markedly elevated serum AFP

After further chemotherapy became impossible, she was discharged in stable condition to Saint Vincent Island for comfort-focused care.

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