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Case Reports
. 2023 Jun 30:45:113.
doi: 10.11604/pamj.2023.45.113.38579. eCollection 2023.

Case studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases)

Mbang Kooffreh-Ada  1 , Obinna Ebere Iheanacho  2 , Victor Ikechukwu Nwagbara  3 , Komommo Okoi Okpebri  4 , Chukwuemeka Okechukwu Anisi  5 , Asa Itam-Eyo  1 , Okezie Uba-Mgbemena  1 , Oliver Emmanuel Ali  1 , Ofonime Benjamin Essien  2 , Akintunde Olusijibomi Akintomide  6 , Michael Eteng Eyong  7 , Emmanuel Edet Effa  1   8 , Ngim Ewezu Ngim  1
Affiliations
Case Reports

Case studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases)

Mbang Kooffreh-Ada et al. Pan Afr Med J. .

Abstract

There is a paradigm shift towards adopting a multidisciplinary team (MDT) model in the care of cancer patients, with increasing evidence to support its effectiveness. Cancers are biologically distinct, patients present in diverse ways and require, different therapeutic approaches in their management. Patient symptoms and treatment side-effects as well as physical and psychological impact vary according to cancer location and treatment plan. The varied clinical scenarios cancer patients present further buttress the need for MDT practice in hospitals to improve the quality of patient care, in contrast to the outdated concept of holistic treatment offered by a single physician. Unlike Europe, United States of America and Australia which have implemented successful MDT cancer care programs, Nigeria is just coming on board. We present two cases of gastric cancer (seen two months apart) with atypical presentation and the role of MDT in their evaluation and management. These case studies highlight the role of MDT in the management of cancer patients in Nigeria lending credence to the urgent need to implement this model of care in our cancer patients in a bid to improve the quality of care and outcome.

Keywords: Atypical; case report; gastric cancer; management challenges; multidisciplinary team.

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Conflict of interest statement

The authors of this case report hereby declare no competing interest.

Figures

Figure 1
Figure 1
axial view of abdominal CT scan showing gastric wall thickening; differential, Linitis plastica
Figure 2
Figure 2
normal colonoscopy findings
Figure 3
Figure 3
sagittal view showing diffuse lytic lesions in the lumbar vertebrae
Figure 4
Figure 4
bone marrow aspiration (bma) slide showing foreign cells and numerous dying cells suggestive of marrow infiltration with increased ineffective haemopoiesis
Figure 5
Figure 5
coronal view of abdominal CT scan showing gastric wall thickening
Figure 6
Figure 6
axial chest CT scan showing right para tracheal and bilateral hilar lymphadenopathy
See this image and copyright information in PMC

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