At the time of recurrence, the patient was malnourished with chronic inflammation (total protein: TP 6.1 g/dL, albumin: Alb 2.8 g/dL, white blood cells: WBC 24.2 × 103/μL, C‐reactive protein: CRP 7.2 mg/dL) and a poor Eastern Cooperative Oncology Group Performance Status (PS 3) due to rapid progression of the tumor. Here, ALB is linked to neoplasm.