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Contents 1 In Memory 2 Patient Information 3 Treatment 4 Time Line

[edit] In Memory

Chad

[edit] 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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[edit] Treatment

Chemotherapy

Asparaginase, Actinomycin, Hydroxyurea

Methotrexate with Leucovorin rescue

HD-VAC

Ifosfamide

Thiotepa, Cytoxan

Gemcitabine (Gemzar)

Surgery

Stem Cell Transplant

Radiation

[edit] 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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