Gibson

From Scratchpad

[edit] In Memory

Sarah Taylor

[edit] Patient Information

Age: 23

Sex: Female

Diagnosed: 10/97

Location: Canada

Diagnosis: Stage IV DSRCT

Hospital British Columbia Cancer Agency - Vancouver B.C

Oncologist Dr. Meg Knowling

Dr. Pippa Hawley - palliative care

Naturopath Dr. Chan

No evidence of disease: 4/28/98

Relapsed: 4/20/99

Passed Away: 07/17/00

[BACK]

[edit] Treatment

Chemotherapy

Version of the P6 protocol

HD-VAC = Vincristine, Adriamycin, Cyclophosphamide (2 days)

HIPE = Ifosfomide, Cysplatin, Etoposide (5 days)

Surgery

Removed two tumours from the abdominal wall, removed the greater omentum (the fat curtain of the belly), and a small bit of the bowel.

Peripheral Stem Cell Replacement

High Dose Chemotherapy VP16 - etoposide, cyclophosphomide

Total Body Irridation (TBI)

Palliative Care

If relapse, palliative care only.

Radiation

Palliative: Specific area radiation therapy to shrink back the tumours in her inguinal crease and by the ureter of her left kidney. She will recieve 4 weeks of treatment - 17 treatments total.

Alternative Medicine

Naturopath

[edit] Time Line

Date	Test	Treatment	Chemicals	Result
10/7/97	MRI/CT/Bone Marrow	0	0	DSRCT
10/22/97	0	Chemotherapy - HD-VAC	Vincristine, Adriamycin, Cyclophosphamide	0
11/10/97	0	Chemotherapy - HIPE (High dose IPE)	Ifosfomide, cysplatin, Etoposide	0
12/2/97	CT	Chemotherapy - HD-VAC	Vincristine, Adriamycin, Cyclophosphamide	There is a main tumour, two smaller ones in the lower abdomen and then some seeds in the "fat curtain" of the belly.
12/29/97	0	Debulking surgery	0	Tumours removed from abdominal wall and the greater omentum (fat curtain of the belly) was removed as it was tumourous as well and a small section of bowel was taken out
1/12/98	0	Chemotherapy	HIPE - Ifosfomide, cysplatin, Etoposide	0
2/9/98	0	Chemotherapy - HD-VAC	Vincristine, Adriamycin, Cyclophosphamide	0
3/6/98	0	begining of High Dose Chemotherapy and Stem Cell Replacement	0	0
3/7/98	0	high dose chemotherapy (VP16 - etoposide)	0	0
3/8/98	0	high dose chemotherapy (cyclophosphomide)	0	0
3/9/98	0	high dose chemotherapy (cyclophosphomide)	0	0
3/10/98	0	high dose chemotherapy (cyclophosphomide)	0	0
3/11/98	0	3 doses TBI (total body irridation)	0	0
3/12/98	0	3 doses TBI (total body irridation)	0	0
3/13/98	0	stem cell infussion	0	0
4/28/98	CT	0	0	No evidence of disease. Remission.
5/98	0	0	0	0
6/98	0	0	0	0
7/98	0	0	0	0
8/98	0	0	0	0
9/98	0	0	0	0
10/27/98	CT	0	0	Inconclusive. A shadow found in the lower RHS pelvic area.
11/98	0	0	0	0
12/98	0	0	0	0
1/99	0	0	0	0
2/99	0	0	0	0
3/99	0	0	0	0
4/20/99	CT	0	0	Relapse. Two "irregularities" on the CT scan. One is in front of the left kidney and the other is forward and lower of that.
5/99	0	0	0	Palliative care only.
6/21/99	CT	0	0	Tumours had grown approximately 2mm in diameter (i.e. they expanded 1 mm all over).
7/99	0	0	0	Palliative care only.
8/99	0	0	0	Palliative care only.
9/99	0	0	0	Palliative care only.
10/99	0	0	0	Palliative care only.
11/2/99	CT	0	0	Disease progression
12/6/99	0	Radiation	0	Palliative care. Specific area radiation therapy to shrink back the tumours in her inguinal crease and by the ureter of her left kidney. She will recieve 4 weeks of treatment - 17 treatments total.
1/00	0	0	0	Palliative care.
2/21/00	CT	0	0	Tumours that were radiated have showed some response. Disease progression.
3/28/00	0	0	0	Significant disease progression.
4/19/00	0	Fluid drained	0	Abdominal fluid buildup (ascitis)
5/1/00	0	Fluid drained	0	Continued abdominal fluid buildup.
5/9/00	0	0	0	Hospice
5/23/00	0	0	0	Hospice care. Disease progression
6/8/00	0	0	0	Hospice. Disease progression.
7/17/00	0	0	0	Passed Away

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