Lunchuck
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[edit] In Memory
[edit] Patient Information
Age: 16
Sex: Male
Diagnosed: 07/2/96
Location: Indiana, PA
Diagnosis: Originally diagnosed with stage IV carcinoma of unknown primary site. DSRCT
Hospital Children's Hospital of Pittsburgh
- Oncologist
- Consultant Dr Brian Kushner
Passed Away: 04/30/97
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[edit] Treatment
Diagnosis: Multiple metastatic sites including: liver, spleen, pancreas, adrenals, a pelvic mass, cardinal nodes, mesenteric nodes, thoracic nodes, bone mets and, most unusually, bone marrow involvement.
Complication: Seven years of Common Variable Immuno-deficiency for which he received IVIgG.
Chemotherapy: Kushner's protocol: 7 chemo cycles = adriamycin, vincristine, and cytoxin cycled with ifosfamide and etoposide
Surgery Debulking: Removed omentum, biopsied his liver, and removed tumor seeding from the peritoneal wall and diaphragm. Unable to completely resect the tumor. The liver found to still contain a large amount of tumor.
Stem Cell
- High dose: thiotepa and carboplatin, given over a period of six days.
Complications: Developed a severe infection with multi organ failure. Major cardiac and kidney complications.
[edit] Time Line
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 7/2/96 | 0 | 0 | 0 | Misdiagnosed withstage IV carcinoma of unknown primary site |
| 8/96 | 0 | 0 | 0 | 0 |
| 9/96 | 0 | Chemotherapy 1 | 0 | 0 |
| 10/96 | 0 | Chemotherapy - 2 | P6 - adriamycin, vincristine, and cytoxin | 0 |
| 10/96 | 0 | Chemotherapy 3 | P6 - adriamycin, vincristine, and cytoxin | 0 |
| 11/96 | 0 | Chemotherapy 4 | P6 - adriamycin, vincristine, and cytoxin | 0 |
| 12/96 | 0 | Chemotherapy 5 | P6 - adriamycin, vincristine, and cytoxin | 0 |
| 1/97 | 0 | Chemotherapy 6 | P6 - ifosfamide and etoposide | 0 |
| 2/97 | 0 | Chemotherapy 7 | P6 - ifosfamide and etoposide | 0 |
| 3/97 | 0 | Debulking surgery | 0 | Removed omentum, biopsied liver, and removed tumor seeding from the peritoneal wall and diaphragm. Unable to completely resect the tumor. The liver found to still contain a large amount of tumor. |
| 4/14/97 | 0 | Stem Cell - High dose chemo started | thiotepa and carboplatin | 0 |
| 4/23/97 | 0 | Stem cell transplant started | 0 | 0 |
| 4/30/97 | 0 | 0 | 0 | Experienced multi-organ (cardiac and kidney) failure. Passed Away |
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