Severe delayed bleeding after surgery for gastric cancer

Patient Info: Anonymized, female, 60s

Biomarkers: HER2-negative

At 1-year follow-up, she had no recurrent surgical-site bleeding and chemotherapy was initiated.

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Hereditary diffuse gastric cancer found after a small signet-ring cell tumor

Patient Info: Anonymized, male, 40s

Biomarkers: Pathogenic germline CDH1 frameshift mutation

Two years after total gastrectomy, he was alive and doing well without recurrence.

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Mixed gastric neuroendocrine tumor and fundic-gland adenocarcinoma in autoimmune gastritis

Patient Info: Anonymized

No residual tumor was found in the gastrectomy specimen, and subsequent follow-up found no recurrence or metastasis.

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Metastatic gastric neuroendocrine carcinoma treated with repeated chemotherapy and immunotherapy

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

Biomarkers: HER2-negative

Metastatic Site: liver, pancreas

More than 3 years after diagnosis, he remained in good condition on fifth-line treatment. April 2023 CT showed shrinkage of liver and pancreatic-tail metastases.

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Small signet-ring gastric cancer found during screening without H. pylori infection

Patient Info: Anonymized, female

Two years after endoscopic resection, periodic endoscopy and CT showed no local or metastatic recurrence.

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Gastric Cancer Treatment Interrupted by Capecitabine-Related Brain Toxicity

Patient Info: Anonymized, Female | Stage II

Her cognition and vital signs improved over several days after capecitabine was stopped. At follow-up 2 weeks later, chemotherapy remained suspended and the treatment plan was revised to radiation alone.

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Gastric cancer arising in hereditary juvenile polyposis

Patient Info: Anonymized, female, 70+

Biomarkers: Pathogenic germline SMAD4 splice-site variant

After total gastrectomy, her anemia and low protein levels improved, and no recurrence or metastasis had been reported.

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Nutritional recovery years after total gastrectomy for gastric cancer

Patient Info: Anonymized, male, 50s

He was alive 6 years after gastrectomy. PET in 2018 showed no recurrence, and CT in 2019 found no abdominal pathological changes while his later care focused on nutritional recovery.

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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: 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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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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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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