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In Memory

Smsunfl Richard

Patient Information

Age: 34

Sex: Male

Diagnosed: 2/98

Location: Medford, Oregon

Diagnosis: Stage IV DSRCT. Nine-inch diameter primary tumor in the pelvic cul de sac, and numerous thoracic metastatic tumors. First diagnosed as carcinoma of unknown origin.

Hospital: Fred Hutchinson Cancer Research Center

Consultation: Children's Hospital in Seattle
Consultation: Memorial Sloan Kettering Cancer Center
Second Opinion: MD Anderson Cancer Center Houston, TX
Surgery: University of Washington Medical Center
Oncologist

No evidence of disease: 7/4/99

Passed Away: 9/29/00

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Treatment

Chemotherapy

First line -bleomycin, etoposide, cisplatinum
Altered (Sloan Kettering) P6 protocol - VACIME - vincristine, Adriamycin, Cytoxan, Ifosfamide, mesna and etoposide, at very high doses.

Surgery

Removed the entire tumor and found clean margins on all sides except bladder, which showed microscopic infiltration. Based on prior instructions, they did not resect the bladder.

Autologous stem cell transplant

High dose chemo: Busulphan, thiotepa, and melphalan.

Radiation

Six week course of localized radiation at original site of primary tumor.

Time Line

Date Test Treatment Chemicals Result
2/98 0 0 0 Found nine-inch diameter primary tumor in the pelvic cul de sac, and numerous thoracic metastatic tumors.
3/98 0 Chemotherapy 1 - high dose BEP =bleomycin, etoposide, cisplatinum 0
4/98 0 Chemotherapy 2 - high dose BEP =bleomycin, etoposide, cisplatinum 0
5/98 0 Chemotherapy 3 - high dose VACIME =vincristine, Adriamycin, Cytoxan, Ifosfamide, mesna and etoposide 0
6/98 0 Chemotherapy 4 - high dose VACIME = vincristine, Adriamycin, Cytoxan, Ifosfamide, mesna and etoposide 0
7/98 0 Chemotherapy 5 - high dose VACIME =vincristine, Adriamycin, Cytoxan, Ifosfamide, mesna and etoposide 0
8/98 0 Chemotherapy 6 - high dose VACIME =vincristine, Adriamycin, Cytoxan, Ifosfamide, mesna and etoposide 0
9/98 0 Surgery 0 Removed the entire tumor and found clean margins on all sides except bladder, which showed microscopic infiltration. Based on prior instructions, they did not resect the bladder.
10/98 0 0 0 0
11/98 0 Autologous Stem Cell Transplant - high dose chemotherapy Busulphan, thiotepa, and melphalan 0
12/98 0 0 0 0
1/99 0 0 0 0
2/99 0 Radiation six-week course Localized radiation at the original site of the primary tumor 0
3/99 0 Radiation six-week course Localized radiation at the original site of the primary tumor 0
4/99 0 0 0 0
5/99 0 0 0 0
6/99 0 0 0 0
7/4/99 0 0 0 No evidence of disease.
8/99 0 0 0 0
9/99 0 0 0 0
10/99 0 0 0 0
11/99 0 0 0 0
12/99 0 0 0 0
1/00 0 0 0 0
2/00 0 0 0 0
3/00 0 0 0 0
4/00 0 0 0 0
5/00 0 0 0 0
6/00 0 0 0 0
7/00 0 0 0 0
8/00 0 0 0 0
9/29/00 0 0 0 Passed Away

22

  • Time line approximate based on statements

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