Gastric cancer diagnosed after pregnancy-related symptoms and gastric perforation

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

CT after chemotherapy showed a good response, but her condition later deteriorated with multiple thromboses associated with metastatic disease. She died a few months after diagnosis.

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Stage IV gastric cancer with peritoneal metastases responds to combined chemotherapy, surgery and HIPEC

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

Metastatic Site: peritoneum

At last follow-up in January 2018, she was asymptomatic and examinations showed no evidence of disease.

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Stage IV signet-ring gastric cancer with peritoneal metastases treated with chemotherapy, surgery and HIPEC

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

Metastatic Site: peritoneum

Developed peritoneal recurrence 3 months after postoperative chemotherapy and was receiving second-line chemotherapy at follow-up.

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Stage IV gastric adenocarcinoma progresses despite multiple chemotherapy approaches for peritoneal metastases

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

Metastatic Site: peritoneum

The cancer progressed during second-line treatment, and he died from tumor-related complications in April 2017, about 16 months after his December 2015 admission.

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Stage IV signet-ring gastric cancer with peritoneal metastases treated with chemotherapy, gastrectomy and HIPEC

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

Metastatic Site: peritoneum

At follow-up, he had no signs of recurrence.

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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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Five Years Without Recurrence After Surgery and Gamma Knife for a Cerebellar Metastasis From EGJ Cancer

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

Biomarkers: CK7 negative, CK20 positive

Metastatic Site: cerebellum

Five years after removal of the cerebellar metastasis and Gamma Knife radiosurgery, she was asymptomatic with no evidence of recurrence.

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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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Gastric cancer causes severe pulmonary hypertension that improves rapidly with imatinib

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

She died from systemic metastatic gastric cancer 7 months after the pulmonary vascular presentation.

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Stage III gastric adenocarcinoma later spreads to the gingiva and responds to local treatment

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

Biomarkers: HER2-negative

Metastatic Site: gingiva

The gingival metastasis disappeared after treatment, and the disease remained stable through March 2017.

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Stage II gastric cancer develops a solitary splenic metastasis one year after surgery

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

Metastatic Site: spleen

He remained well with no evidence of recurrence for 18 months after splenectomy, roughly 2.5 years after the original gastrectomy.

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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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Stage IV Signet Ring Gastric Cancer Presenting With DIC and Severe Anemia

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

Metastatic Site: bone marrow

His coagulation abnormalities and anemia improved after chemotherapy, and he was discharged in stable condition to continue treatment and oncology follow-up.

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Recurrent Gastric Cancer With Peritoneal Spread and Acute Hypertension During Ramucirumab

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

Metastatic Site: peritoneum

Treatment was stopped after 2 cycles because of progression, no further cytotoxic treatment was started, and he died at home 19 weeks after the last chemotherapy.

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Stage IV HER2-negative gastric adenocarcinoma complicated by acute arterial thrombosis during chemotherapy

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

Biomarkers: HER2-negative

Metastatic Site: peritoneum, retroperitoneal lymph nodes

After recovering from acute arterial thrombosis, he restarted cancer treatment with docetaxel and remained well without further complications at the latest follow-up.

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Stage IV gastric cancer with peritoneal metastases controlled for years with intraperitoneal chemotherapy

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

Metastatic Site: peritoneum, bone

She had survived 5 years 2 months after diagnosis of peritoneal carcinomatosis, despite later suspected ovarian metastases, confirmed bone metastases and recurrent peritoneal disease.

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Stage IV Gastric Cancer: Rick's Patient Story

Patient Info: Rick Sabbides, Male | Stage IV

Rick’s CaringBridge journal was being used to share updates and receive support during his Stage IV cancer journey.

The 6th Opinion

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

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

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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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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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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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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