This article describes the process of multidisciplinary team (MDT) discussion and comprehensive treatment of a case of advanced gastric cancer that tested positive for programmed death ligand 1 (PD-L1). During diagnosis. the patient presented with advanced gastric cancer and numerous unresectable metastases in the lesser omental lymph nodes. both lungs. https://missouriquiltcoes.shop/product-category/fat-quarter-patterns/