Metastatic Ovarian Cancer Discovered After Recurrent Embolic Strokes

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

Metastatic Site: left axillary lymph node

She received 1 cycle of paclitaxel and carboplatin and died on day 54 of her second hospital admission. Her family declined an autopsy.

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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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Metastatic Low-Grade Serous Ovarian Cancer Causing Severe Pulmonary Hypertension

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

Metastatic Site: pleura, pulmonary arteries

She died on hospital day 29 after rapidly progressive pulmonary hypertension. Autopsy attributed the pulmonary hypertension to metastatic ovarian serous carcinoma with pulmonary arterial tumor emboli.

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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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