DeWalle
From Scratchpad
[edit] Patient Information
Age: 21
Sex: Male
Diagnosed: 1/04
Location: Missouri
Diagnosis: Stage 1 DSRCT Found small lump in left testicle.
Hospital:
- Oncologist
Relapse: 12/27/06
Passed away: 6/13/07
[edit] Treatment
Chemotherapy: P6
Surgery: Small tumor removed from the testicular area (epidydimis). Radical orchiectomy (testicle and lymph nodes removed). During surgery it was found that the tumor was from the epididymis and had grown around the testicle. No other tumors were ever seen.
Relapse: Tumors reoccur by stomach, spleen, and liver.
Chemotherapy
- Cytoxan and Vincristine
- Cytoxan, Vincristine, Topetecan
- Ironetecan, Temodar
Maintenance Chemo 28 day cycle of Sutent 50mg daily.
[edit] Time Line
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 1/04 | 0 | Surgery | 0 | Removed small tumor in testicular area. |
| 2/17/04 | PET | Chemotherapy -Cycle 1 | P6 | Negative |
| 3/9/04 | 0 | Chemotherapy -Cycle 2 | P6 | 0 |
| 3/30/04 | 0 | Chemotherapy -Cycle 3 | P6 | 0 |
| 4/20/04 | 0 | Chemotherapy -Cycle 4 | P6 | 0 |
| 5/19/04 | 0 | Chemotherapy -Cycle 5 | P6 | 0 |
| 6/7/04 | CT | Chemotherapy -Cycle 6 | P6 | Clear. No evidence of disease. |
| 7/1/04 | 0 | Chemotherapy -Cycle 7 | P6 | Completed Treatment. |
| 8/04 | CT | 0 | 0 | No evidence of disease |
| 9/04 | 0 | 0 | 0 | 0 |
| 10/04 | 0 | 0 | 0 | 0 |
| 11/04 | 0 | 0 | 0 | 0 |
| 12/04 | CT | 0 | 0 | No evidence of disease |
| 1/05 | 0 | 0 | 0 | 0 |
| 2/05 | 0 | 0 | 0 | 0 |
| 3/05 | 0 | 0 | 0 | 0 |
| 4/05 | CT | 0 | 0 | No evidence of disease |
| 5/05 | 0 | 0 | 0 | 0 |
| 6/05 | 0 | 0 | 0 | 0 |
| 7/05 | 0 | 0 | 0 | 0 |
| 8/3/05 | CT | 0 | 0 | No evidence of disease. |
| 9/05 | 0 | 0 | 0 | 0 |
| 10/05 | 0 | 0 | 0 | 0 |
| 11/05 | 0 | 0 | 0 | 0 |
| 12/28/05 | CT | 0 | 0 | No evidence of disease. |
| 1/06 | 0 | 0 | 0 | 0 |
| 2/06 | 0 | 0 | 0 | 0 |
| 3/06 | 0 | 0 | 0 | 0 |
| 4/06 | 0 | 0 | 0 | 0 |
| 5/06 | 0 | 0 | 0 | 0 |
| 6/06 | 0 | 0 | 0 | 0 |
| 7/06 | 0 | 0 | 0 | 0 |
| 8/06 | 0 | 0 | 0 | 0 |
| 9/06 | 0 | 0 | 0 | 0 |
| 10/06 | 0 | 0 | 0 | 0 |
| 11/06 | 0 | 0 | 0 | 0 |
| 12/27/06 | CT | Chemotherapy 1 | Cytoxan in reduced dose along with Vincristine. Sutent. | New tumor growth in omentum over liver, spleen, colon. Ascitis present. |
| 1/30/07 | 0 | Chemotherapy 2 | Cytoxan, Vincristine, Topetecan | 0 |
| 2/07 | CT | Chemotherapy 3 | Cytoxan, Vincristine, Topetecan. | Responding to chemo, tumors shrinking. |
| 2/27/07 | CT | Chemotherapy 4 - Chemo changed due to CT | Irinotecan, Temador. Daily Sutent resumed. | No tumors at liver, spleen but colon tumors larger |
| 3/07 | 0 | Chemotherapy 4 | Irinotecan, Temador. Daily Sutent | 0 |
| 4/07 | CT | Chemotherapy 5 | Daily sutent | 0 |
| 5/24/07 | 0 | 0 | 0 | Progression of disease caused ileus (paralysis of GI tract) |
| 5/29/07 | 0 | 0 | 0 | Decision to stop treatment and go on hospice care |
| 6/13/07 | 0 | 0 | 0 | Passed away. |
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