Orgel
From Scratchpad
[edit] Patient Information
Age: 13
Sex: Male
Diagnosed: Dec-01
Location: Ohio
Diagnosis: Desmoplastic small round cell tumor
No evidence of disease: 4/02
Current: In remission for DSRCT as of October 2006
- Hospital: Memorial Sloan-Kettering Cancer Center
- Oncologist: Dr. Brian Kushner
- Surgeon: Michael P. La Quaglia, FACS, FRCS
- Hospital: Toledo Children's Hospital
- Oncologist: Dagmar Stein, MD
- Hospital: University of Michigan Hospital
- Stem Cell Transplant
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[edit] Treatment
- High dose chemotherapy - Kushner's P6
- HD-VAC = Cycles 1,2,3,6 -Adriamycin (Doxorubicin);Cytoxan (Cyclophosphamide); Vincristine
- Cycles 4 & 5 = Topotecan and Cytoxan
- Surgery
- Debulking Surgery
- Surgery = 100% tumor removal
- Full abdominal radiation
- Stem cell transplant
- High dose chemo - Thiotepa and Carboplatin
[edit] Time Line
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 12/01 | 0 | Courses 1 - HD-VAC | 0 | 0 |
| 1/02 | 0 | Courses 2 - HD-VAC | 0 | 0 |
| 2/02 | 0 | Courses 3 - HD-VAC | 0 | 0 |
| 2/02 | 0 | Debulking surgery by Dr. LaQuaglia at MSKCC. | 0 | 0 |
| 3/02 | 0 | Courses 4 - Topotecan and Cytoxan | 0 | 0 |
| 4/02 | 0 | Debulking surgery by Dr. LaQuaglia at MSKCC. Achieved 100% tumor removal. Considered tumor free since then. | 0 | Clinically no evidence of disease. |
| 5/02 | 0 | Courses 5 - Topotecan and Cytoxan | 0 | 0 |
| 6/02 | 0 | Courses 6 - HD-VAC | 0 | 0 |
| 7/02 | 0 | Stem Cell Transplant - Un. of Michigan, Ann Arbor. Pre-transplant drugs - Thiotepa and Carboplatin | 0 | 0 |
| 8/02 | 0 | 0 | 0 | 0 |
| 9/02 | 0 | Total Abdominal Radiation. | 0 | 0 |
| 10/02 | 0 | Total Abdominal Radiation. Treatment was supposed to end here but he tolerated the regimen very well and was allowed to take more chemo. | 0 | 0 |
| 11/02 | 0 | 0 | 0 | 0 |
| 12/02 | CT - clear | oral VP-16 | 0 | 0 |
| 1/03 | CT - clear | oral VP-16 | 0 | 0 |
| 2/03 | CT - clear | oral VP-16 | 0 | 0 |
| 3/03 | 0 | oral VP-16 | 0 | 0 |
| 4/03 | 0 | oral VP-16 | 0 | 0 |
| 5/03 | 0 | oral VP-16 | 0 | 0 |
| 6/03 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 7/03 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 8/03 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 9/03 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 10/03 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 11/03 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 12/03 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 1/04 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 2/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 3/04 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 4/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 5/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 6/04 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 7/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 8/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 9/04 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 10/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 11/04 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 12/04 | CT - Clear. No Tumors. | 25 mg of Vioxx nightly | 0 | 0 |
| 1/05 | PET/CT Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 2/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 3/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 4/05 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 5/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 6/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 7/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 8/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 9/05 | CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 10/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 11/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 12/05 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 1/06 | PET/CT - Clear | 25 mg of Vioxx nightly | 0 | 0 |
| 2/06 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 3/06 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 4/06 | 0 | 25 mg of Vioxx nightly | 0 | 0 |
| 5/06 | CT/PET - unknown lesions on liver | 25 mg of Vioxx nightly | 0 | 0 |
| 6/06 | MRI - unknown lesions on liver | 25 mg of Vioxx nightly | 0 | 0 |
| 7/06 | MRI/cholangiogram | 25 mg of Vioxx nightly | 0 | Biopsy - Clear of tumor -Biliary Hyperplasia |
| 8/06 | 0 | 0 | 0 | 0 |
| 9/06 | 0 | 0 | 0 | 0 |
| 10/31/06 | CT/PET | 0 | 0 | No evidence of disease |
| 11/06 | 0 | 0 | 0 | 0 |
| 12/06 | 0 | 0 | 0 | 0 |
| 1/07 | 0 | 0 | 0 | 0 |
| 2/8/07 | CT/PET | 0 | 0 | No evidence of disease |
| 3/07 | 0 | 0 | 0 | 0 |
| 4/07 | 0 | 0 | 0 | 0 |
| 5/07 | 0 | 0 | 0 | 0 |
| 6/1/07 | CT/PET | 0 | 0 | No evidence of disease |
| 7/07 | 0 | 0 | 0 | 0 |
| 8/07 | 0 | 0 | 0 | 0 |
| 9/07 | 0 | 0 | 0 | 0 |
| 10/07 | 0 | 0 | 0 | 0 |
| 11/07 | 0 | 0 | 0 | 0 |
| 12/07 | 0 | 0 | 0 | 0 |
| 1/08 | 0 | 0 | 0 | 0 |
| 2/08 | 0 | 0 | 0 | 0 |
| 3/08 | 0 | 0 | 0 | 0 |
| 4/08 | 0 | 0 | 0 | 0 |
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