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Cancer biology, symptom patterns, and treatment side-effects vary by location and plan, requiring different therapeutic approaches. Patient-specific clinical and psychosocial impacts further reinforce MDT practice in hospitals, improving care quality compared with outdated single-physician “holistic” concepts. Nigeria is still adopting MDT cancer programs; two gastric cancer cases are presented to illustrate atypical presentations and MDT roles in evaluation, management, and outcomes.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/case-studies-of-multi-disciplinary-team-management-of-atypical-gastric-cancer-about-two-cases-challenges-and-lessons-learned/384038/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/case-studies-of-multi-disciplinary-team-management-of-atypical-gastric-cancer-about-two-cases-challenges-and-lessons-learned/384038.png","ImageObject",300,407,{"name":92,"@type":93},"Terk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is the multidisciplinary team (MDT) model emphasized in cancer care?","Question",{"text":113,"@type":114},"MDT care is emphasized because evidence shows it improves patient management through coordinated, interdisciplinary case discussions and updated recommendations.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What do the authors present in this report?",{"text":118,"@type":114},"The report presents two gastric cancer cases with atypical presentations and describes the MDT role in their evaluation and management.",{"name":120,"@type":111,"acceptedAnswer":121},"How do cancer biology and treatment plans affect the need for MDT practice?",{"text":122,"@type":114},"Cancer biology and differing therapeutic approaches lead to variable symptoms, side-effects, and physical and psychological impacts, which strengthens the need for MDT practice tailored to each clinical scenario.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},384038,1790625132,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},1099525198933,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Case report    \nCase studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases)  \nMbang Kooffreh-Ada, Obinna Ebere Iheanacho, Victor Ikechukwu Nwagbara, Komommo Okoi Okpebri, Chukwuemeka Okechukwu Anisi, Asa Itam-Eyo, Okezie Uba-Mgbemena, Oliver Emmanuel Ali, Ofonime Benjamin Essien, Akintunde Olusijibomi Akintomide, Michael Eteng Eyong, Emmanuel Edet Effa, Ngim Ewezu Ngim  \nCorresponding author: Mbang Kooffreh-Ada, Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, [Nigeria. mkooffreh@yahoo.com](Nigeria. mkooffreh@yahoo.com)  \n[Received:](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)[ 26 Dec 2022-](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)[Accepted:](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)[ 22 Mar 2023-](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)[Published:](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)[ 30 Jun 2023](Received: 26 Dec 2022-Accepted: 22 Mar 2023-Published: 30 Jun 2023)  \nKeywords: Atypical, gastric cancer, management challenges, multidisciplinary team, case report  \nCopyright: Mbang Kooffreh-Ada et al. Pan African Medical Journal (ISSN: 1937-8688) . This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nCite this article: Mbang Kooffreh-Ada et al. Case studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases) . Pan African Medical Journal. 2023;45(113) . 10.11604/pamj.2023.45.113.38579  \nAvailable online at: [https://www.panafrican-med-journal.com//content/article/45/113/full](https://www.panafrican-med-journal.com//content/article/45/113/full)  \nCase studies of multi-disciplinary team management of atypical gastric cancer: challengesand lessons learned (about two cases)  \nMbang Kooffreh-Ada1,&, Obinna Ebere Iheanacho2, Victor Ikechukwu Nwagbara3, Komommo Okoi Okpebri4, Chukwuemeka Okechukwu Anisi5, Asa Itam-Eyo1, Okezie Uba-Mgbemena1, Oliver Emmanuel Ali1, Ofonime Benjamin Essien2,  \nAkintunde Olusijibomi Akintomide6, Michael Eteng Eyong7, Emmanuel Edet Effa1,8, Ngim Ewezu Ngim1  \n1 Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 2 Department of Haematology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 3 Department of Surgery, University of Calabar, University of Calabar  \nTeaching Hospital, Calabar, Nigeria, 4 Department of Obstetrics and Gynaecology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 5 Department of Orthopaedics and Traumatology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 6 Department of Radiology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 7 Department of Paediatrics, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria, 8 Department of Internal Medicine, Edward Francis Small Teaching Hospital, Banjul, The Gambia  \n&Corresponding author  \nMbang Kooffreh-Ada, Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria  \nAbstract  \nThere 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 var","cbCaicRwIuFT0GEi","https://ap.wps.com/l/cbCaicRwIuFT0GEi","pdf",1059977,13,"English","# Abstract\n# Introduction","[{\"question\":\"Why is the multidisciplinary team (MDT) model emphasized in cancer care?\",\"answer\":\"MDT care is emphasized because evidence shows it improves patient management through coordinated, interdisciplinary case discussions and updated recommendations.\"},{\"question\":\"What do the authors present in this report?\",\"answer\":\"The report presents two gastric cancer cases with atypical presentations and describes the MDT role in their evaluation and management.\"},{\"question\":\"How do cancer biology and treatment plans affect the need for MDT practice?\",\"answer\":\"Cancer biology and differing therapeutic approaches lead to variable symptoms, side-effects, and physical and psychological impacts, which strengthens the need for MDT practice tailored to each clinical scenario.\"}]","Case studies of multi-disciplinary team management of atypical gastric cancer - about two cases - challenges and lessons learned | PDF",1790260957,33]