{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T04:41:54Z","timestamp":1765082514300,"version":"3.46.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,6]]},"DOI":"10.7759\/cureus.98597","type":"journal-article","created":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:14:02Z","timestamp":1765077242000},"source":"Crossref","is-referenced-by-count":0,"title":["Quality of Life Over Quantity: Conscious Refusal of Treatment and Stable Course of Gastric Signet-Ring Cell Carcinoma in a 94-Year-Old Woman"],"prefix":"10.7759","author":[{"given":"Aleksandr","family":"Martynenko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/his.13975","article-title":"The 2019 WHO classification of tumours of the digestive system","volume":"76","author":"Nagtegaal ID","year":"2020","unstructured":"Nagtegaal ID, Odze RD, Klimstra D, et al.. The 2019 WHO classification of tumours of the digestive system. Histopathology. 2020, 76:182-8. 10.1111\/his.13975","journal-title":"Histopathology"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/apm.1965.64.1.31","article-title":"The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. An attempt at a histo-clinical classification","volume":"64","author":"Lauren P","year":"1965","unstructured":"Lauren P. The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. An attempt at a histo-clinical classification. Acta Pathol Microbiol Scand. 1965, 64:31-49. 10.1111\/apm.1965.64.1.31","journal-title":"Acta Pathol Microbiol Scand"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i40.11428","article-title":"Signet-ring cell carcinoma of the stomach: impact on prognosis and specific therapeutic challenge","volume":"21","author":"Pernot S","year":"2015","unstructured":"Pernot S, Voron T, Perkins G, Lagorce-Pages C, Berger A, Taieb J. Signet-ring cell carcinoma of the stomach: impact on prognosis and specific therapeutic challenge. World J Gastroenterol. 2015, 21:11428-38. 10.3748\/wjg.v21.i40.11428","journal-title":"World J Gastroenterol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2024.1473798","article-title":"Prognostic prediction and treatment options for gastric signet ring cell carcinoma: a SEER database analysis","volume":"14","author":"Yu C","year":"2024","unstructured":"Yu C, Yang J, Li H, et al.. Prognostic prediction and treatment options for gastric signet ring cell carcinoma: a SEER database analysis. Front Oncol. 2024, 14:1473798. 10.3389\/fonc.2024.1473798","journal-title":"Front Oncol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2016.4337","article-title":"Lauren classification and individualized chemotherapy in gastric cancer","volume":"11","author":"Ma J","year":"2016","unstructured":"Ma J, Shen H, Kapesa L, Zeng S. Lauren classification and individualized chemotherapy in gastric cancer. Oncol Lett. 2016, 11:2959-64. 10.3892\/ol.2016.4337","journal-title":"Oncol Lett"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04206-4","article-title":"Gastr\u0131c cancer surgery in elderly patients: promising results from a mid-western population","volume":"23","author":"Yazici H","year":"2023","unstructured":"Yazici H, Esmer AC, Eren Kayaci A, Yegen SC. Gastr\u0131c cancer surgery in elderly patients: promising results from a mid-western population. BMC Geriatr. 2023, 23:529. 10.1186\/s12877-023-04206-4","journal-title":"BMC Geriatr"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2024.103657","article-title":"Adequate assessment yields appropriate care-the role of geriatric assessment and management in older adults with cancer: a position paper from the ESMO\/SIOG Cancer in the Elderly Working Group","volume":"9","author":"Loh KP","year":"2024","unstructured":"Loh KP, Liposits G, Arora SP, et al.. Adequate assessment yields appropriate care-the role of geriatric assessment and management in older adults with cancer: a position paper from the ESMO\/SIOG Cancer in the Elderly Working Group. ESMO Open. 2024, 9:103657. 10.1016\/j.esmoop.2024.103657","journal-title":"ESMO Open"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.23.00933","article-title":"Practical assessment and management of vulnerabilities in older patients receiving systemic cancer therapy: ASCO guideline update","volume":"41","author":"Dale W","year":"2023","unstructured":"Dale W, Klepin HD, Williams GR, et al.. Practical assessment and management of vulnerabilities in older patients receiving systemic cancer therapy: ASCO guideline update. J Clin Oncol. 2023, 41:4293-312. 10.1200\/JCO.23.00933","journal-title":"J Clin Oncol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2021.100147","article-title":"Patterns of integrating palliative care into standard oncology in an early ESMO designated center: a 10-year experience","volume":"6","author":"Blum D","year":"2021","unstructured":"Blum D, Seiler A, Schmidt E, Pavic M, Strasser F. Patterns of integrating palliative care into standard oncology in an early ESMO designated center: a 10-year experience. ESMO Open. 2021, 6:100147. 10.1016\/j.esmoop.2021.100147","journal-title":"ESMO Open"},{"key":"ref10","unstructured":"ICD-O-3 SEER site\/histology validation list. (2022). Accessed. April 29, 2022: https:\/\/seer.cancer.gov\/icd-o-3\/."},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbcan.2022.188719","article-title":"Diffuse gastric cancer: emerging mechanisms of tumor initiation and progression","volume":"1877","author":"Monster JL","year":"2022","unstructured":"Monster JL, Kemp LJ, Gloerich M, van der Post RS. Diffuse gastric cancer: emerging mechanisms of tumor initiation and progression. Biochim Biophys Acta Rev Cancer. 2022, 1877:188719. 10.1016\/j.bbcan.2022.188719","journal-title":"Biochim Biophys Acta Rev Cancer"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.14336\/AD.2024.0421","article-title":"Cellular aging and senescence in cancer: a holistic review of cellular fate determinants","volume":"16","author":"Tufail M","year":"2024","unstructured":"Tufail M, Huang YQ, Hu JJ, et al.. Cellular aging and senescence in cancer: a holistic review of cellular fate determinants. Aging Dis. 2024, 16:1483-512. 10.14336\/AD.2024.0421","journal-title":"Aging Dis"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02314-X","article-title":"Report of the Lancet Commission on the Value of Death: bringing death back into life","volume":"399","author":"Sallnow L","year":"2022","unstructured":"Sallnow L, Smith R, Ahmedzai SH, et al.. Report of the Lancet Commission on the Value of Death: bringing death back into life. Lancet. 2022, 399:837-84. 10.1016\/S0140-6736(21)02314-X","journal-title":"Lancet"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/441049-quality-of-life-over-quantity-conscious-refusal-of-treatment-and-stable-course-of-gastric-signet-ring-cell-carcinoma-in-a-94-year-old-woman","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:14:03Z","timestamp":1765077243000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/441049-quality-of-life-over-quantity-conscious-refusal-of-treatment-and-stable-course-of-gastric-signet-ring-cell-carcinoma-in-a-94-year-old-woman"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,6]]},"references-count":13,"URL":"https:\/\/doi.org\/10.7759\/cureus.98597","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,6]]}}}