Abstract
Gastric cancer is the sixth most common malignancy worldwide and is associated with substantial morbidity and mortality.
A 32-year-old woman was diagnosed with stage IV signet-ring cell gastric adenocarcinoma with peritoneal carcinomatosis, a Sister Mary Joseph nodule, and rare diffuse colonic metastases.
The patient received CAPOX-therapy, followed by maintenance ramucirumab plus paclitaxel, and subsequently irinotecan monotherapy; due to feeding difficulties, a nasojejunal feeding tube was placed.
Over 20 months of follow-up, only minimal clinical progression was observed, and the patient’s condition remained stable. This case underscores the importance of early detection, multidisciplinary care, and individualized therapeutic strategies in aggressive gastric cancer.
Keywords
Gastric cancer, Signet-ring cell adenocarcinoma, Sister Mary Joseph nodule, Peritoneal carcinomatosis, Colonic metastasis, CAPOX, Ramucirumab, Irinotecan