Hutchinson
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[edit] In Memory
Ryan
[edit] Patient Information
Age: 10
Sex: Male
Diagnosed: 2/07
Location: Roanoke, Va
Diagnosis: DSRCT stage 4 Masses in abdomen & spread to liver
Passed away: 4/29/08
Hospital: Community Hospital Roanoke, Va 24013 now known as Carilion Roanoke Memorial Hospital [Oncologists : Dr. Joan Fisher and Dr. Mandy Meck]
Stem Cell Transplant performed at MCV Hospital in Richmond, Virginia [Stem Cell doctors : Dr. John McCarty and Dr. Howard Chung followup care: Dr. Kamar Godder]
Radiation performed at Blue Ridge Cancer Care Roanoke, Virginia [Radiation oncologist: Dr. David A. Buck, MD]
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[edit] Treatment
Chemotherapy (Kushner's P6)
Surgery
- Primary tumor removed, attached to colon and only a tiny bit remains. Tiny areas of concern remain on liver, spot on the colon, and a small area in pelvis.
Autologous Stem Cell Transplant
Radiation 20 sessions ( 4 weeks mon- fri not on weekends for 20 min.)
Maintenance medication: Celebrex (200mg taken twice a day) and Thalomid (aka Thalidomide - 100mg taken once a day - dosage to be increased as tolerated). Decision to give this was the hope that it may prevent the tumor from growing back. The plan to is take for 6 months to a year.
[edit] Time Line
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 2/13/07 | 0 | Chemotherapy (Kushner's P6) | Vincristine - Doxorubicin - Cyclophospamide - Mesna 3 days inpatient | Ryan felt an immediate relief and shrinking of the primary tumor |
| 3/5/07 | 0 | Chemotherapy | Vincristine - Doxorubicin - Cyclophospamide - Mesna 3 days inpatient | 0 |
| 3/19/07 | Stem Cell Harvest | 0 | 0 | 0 |
| 3/26/07 | 0 | Chemotherapy | Vincristine - Doxorubicin - Cyclophospamide - Mesna 3 days inpatient | 0 |
| 4/11/07 | CT Scan | 0 | 0 | significant shrinkage |
| 4/16/07 | 0 | Chemotherapy | Ifosamide - Etoposide - Mesna 5 days inpatient | 0 |
| 5/7/07 | 0 | Chemotherapy | Ifosamide - Etoposide - Mesna 5 days inpatient | 0 |
| 5/21/07 | CT Scan | 0 | 0 | more significant shrinkage - liver lesions showing shrinkage Ready to schedule surgery |
| 6/1/07 | 0 | Surgery | 0 | Removed primary tumor that was attached to colon and a tiny bit remains where it was connected. Other tiny areas of concern remain on the liver, the spot on colon, and a small area in pelvis. |
| 6/11/07 | 0 | Chemotherapy | Vincristine - Doxorubicin - Cyclophospamide - Mesna 3 days inpatient | 0 |
| 7/2/07 | 0 | Chemotherapy | Ifosamide - Etoposide - Mesna 5 days inpatient | 0 |
| 7/19/07 | CT Scan | 0 | 0 | Small portion left on colon after surgery is gone. Lesions on liver gone but one small piece. In the deep pelvis there is still "seeding" of disease - the amount is less but still present. |
| 8/6/07 | PET scan | Chemotherapy | Thiotepia 3 days inpatient | PET showed a shadow on the spine - an MRI showed nothing - no sign of disease. Liver lesion gone - small portion left on colon gone. Deep pelvis "seedings" still present but shrinking. |
| 8/10/07 | 0 | Chemotherapy | Carboplatin 3 days inpatient | 0 |
| 8/15/07 | 0 | Autologous Stem Cell Transplant | 0 | 0 |
| 9/07 | 0 | 0 | 0 | 0 |
| 10/11/07 | CT Scan | 0 | 0 | Scan showed no sign of disease |
| 10/18/07 | 0 | Radiation | 0 | Began 20 sessions of radiation |
| 11/07 | 0 | 0 | 0 | 0 |
| 12/3/07 | CT scan and bone scan | 0 | 0 | Done as a baseline - No evidence of disease - still some inflamation and fluid from radiation. Scans to be redone in January so the baseline will be a clean scan |
| 1/08 | 0 | 0 | 0 | 0 |
| 2/11/08 | CT scan | 0 | 0 | clear scans - no evidence of disease |
| 3/7/08 | 0 | C | Celebrex (200mg twice daily)and Thalomid (aka Thalidomide - 100 mg once a day to be increased gradually to a tolerable level) | Maintenance medication - taken in hopes of preventing the cancer from being able to return |
| 4/28/08 | 0 | 0 | 0 | Passed away |
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