title: Retrospective denial as a coping method.
abstract: Worldwide, gastric cancer is one of the most common and fatal cancers. The majority of patients present with an advanced stage of disease. Even with use of palliative chemotherapy most patients die within 1 year after diagnosis. Medical psychological attention after a diagnosis of incurable cancer is focused on end of life support. This paper presents the care of a patient treated with palliative intent with chemotherapy for an irresectable histologically confirmed gastric cancer. When, unexpectedly prolonged symptom free survival followed, the reaction of the patient came as a surprise to the attending medical team. In this case history we urge those who care for incurable cancer patients, that the rare patient who survives against all odds may require special psychological care.
authors.affiliation: Department of Medical Oncology, University Medical Center Groningen, University of Groningen, 30.001, 9700 RB, Groningen, The Netherlands.
authors.forename: Ester J M
authors.initials: EJ
authors.lastname: Siemerink
authors.forename: Jan P C
authors.initials: JP
authors.lastname: Jaspers
authors.forename: John T M
authors.initials: JT
authors.lastname: Plukker
authors.forename: Nanno H
authors.initials: NH
authors.lastname: Mulder
authors.forename: Geke A P
authors.initials: GA
authors.lastname: Hospers
mesh_terms: D000223:Adaptation, Psychological; D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology / Q000523:psychology*; D000970:Antineoplastic Agents / Q000627:therapeutic use / Q000633:toxicity; D003717:Denial, Psychological; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000523:psychology*; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000523:psychology*
chemical_list: D000970:Antineoplastic Agents