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In Memory

Smsunfl Chad

Patient Information

Age: 29

Sex: Male

Diagnosed: 6/01

Location: Bemidji, Minnesota

Diagnosis: Abdominal DSRCT

Hospital: Roger Maris

Oncologist Dr. Kobrinsky

No Evidence of Disease: 12/2/02

Relapse: 6/26/03

Current: Passed away 12/25/03

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Treatment

Chemotherapy

Asparaginase, Actinomycin, Hydroxyurea
Methotrexate with Leucovorin rescue
HD-VAC
Ifosfamide
Thiotepa, Cytoxan
Gemcitabine (Gemzar)

Surgery

Stem Cell Transplant

Radiation

Time Line

Date Test Treatment Chemicals Result
6/01 CT Biopsy surgery Tumors
6/01 0 Chemotherapy Carboplatin Some tumor shrinkage, but not much, stopped taking it
7/01 0 Chemotherapy Weekly treatments of Asparaginase and Actinomycin and daily Hydroxyurea 0
8/01 0 Chemotherapy Methotrexate with Leucovorin rescue 0
8/8/01 0 Chemotherapy 0 Daily Hydroxyurea
8/15/01 CT 0 0 Worked but not significant, changing chemo
8/21/01 0 Chemotherapy Methotrexate with Leucovorin rescue 0
9/5/01 0 Chemotherapy Methotrexate with Leucovorin rescue 0
9/20/01 CT 0 0 No change, did not grow, did not shrink
9/24/01 0 Chemotherapy VAC 0
10/24/01 CT 0 0 Tumors shrunk by 50%. Completely cleared liver and spleen. Two major tumors left.
10/30/01 0 Chemotherapy VAC 0
11/21/01 CT 0 0 Big tumor in the middle shrunk from 5.5cm to 5.3. The other one stayed the same.
11/26/01 0 Chemotherapy VAC 0
12/21/01 CT 0 0 CT showed chest is clear. Spleen has a spot on it. Some shrinkage.
12/31/01 0 Surgery 0 Surgery revealed one huge tumor wrapped around organs. Removed 25% of pancreas and sliver from the Stomach. Biopsy reveal 25% of cancer was still active after all the chemo. Threat of microscopic activity remains.
1/29/02 0 Chemotherapy VAC 0
2/19/02 0 Chemotherapy VAC 0
3/22/02 0 Chemotherapy Ifosfamide 0
4/5/02 None Harvest stem cells 0 0
4/16/02 0 Stem Cell Transplant Thiotepa,Cytoxan 0
5/8/02 0 0 0 Home from Transplant
5/21/02 0 0 0 Bacterial infection: Clostridium Difficile
6/31/02 CT 0 0 CT clear. No evidence of disease. Bone marrow test came back normal.
7/02 0 0 0 0
8/28/02 0 Radiation 40 days total whole abd radiation for 23 days 0
9/21/02 0 Radiation:localized Site of Previous tumor 17 days 0 0
10/21/02 0 Radiation 0 0
11/21/02 0 0 0 Last day of radiation.
12/12/02 CT 0 0 Clear. No evidence of disease.
1/03 0 0 0 0
2/03 0 0 0 0
3/25/03 CT 0 0 Two spots on lungs, inconclusive.
4/03 0 0 0 0
5/1/03 CT 0 0 Undecided whether relapse or if two spots are fungus.
5/3/03 0 Surgery to biopsy the spots on lung 0 Results from biopsy showed no sign of cancer.
6/26/03 0 0 0 Pain in side. Went to ER.
6/27/03 CT 0 0 Relapse: 10-15 cm tumor and 50-100 nodes in Liver.
7/15/03 0 Chemotherapy Irinotecan and Cisplatin Cancer is advanced with only 20% of liver functioning.
7/21/03 0 Chemotherapy Irinotecan and Cisplatin 0
8/25/03 0 Chemotherapy Irinotecan and Cisplatin 0
9/1/03 CT & PET 0 0 Cancer shrinking from liver. No affect on larger tumor.
9/10/03 0 Chemotherapy Irinotecan and Cisplatin 0
10/10/03 CT 0 0 Some tumors smaller, some tumors larger. WBC too low to start chemo. Stem cell hindered ability for marrow to produce as it should.
10/28/03 0 Chemotherapy Gemcitabine 0
11/13/03 0 0 0 Think tumor is growing making it difficult to eat. More pain each day.
11/17/03 0 0 0 Tumor by liver painful. Can now see lumps and bumps. Stomach is growing.
11/20/03 0 Chemotherapy Velcade 0
11/24/03 0 Chemotherapy Velcade 0
11/28/03 0 Chemotherapy Velcade 0
11/30/03 0 0 0 Trouble sleeping, most comfortable position is upright.
12/2/03 0 Chemotherapy Velcade 0
12/4/03 0 0 0 Retaining fluid.
12/16/03 0 0 0 Fluid being tapped and drained.
12/17/03 0 Chemotherapy Irinotecan and Oxaliplatin 4.4 litres of fluid drained.
12/23/03 0 0 0 Treatment stops: Hospice Begins- on Oxygen Level 15
12/25/03 0 0 0 Chad passes away at 11:05PM

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