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In Memory

Smsunfl Steven

Patient Information

Age: 15

Sex: Male

Diagnosed: 7/04

Secondary cancer: Leukemia

Passed away: 9/15/09

Location: Illinois

Diagnosis: DSRCT

Hospital Children's Memorial Hospital, Chicago, Ill.

Oncologist

Caringbridge Journal

Back

Treatment

Surgery

  1. Removed a tumor in spleen

Chemotherapy

First Line
Vincrinstine, Cytoxan(Cyclophosphamide) , Adriamycin (Doxorubicin);
Second Line
Etoposide, Ifosomide

Maintenance Drugs

Celebrex taken twice a day

Radio Frequency Ablation

RFA used on liver to successfully ablate 8 of 14 tumors. Three hour procedure using CT scan technology performed by an interventional radiologist. The procedure involved going throught the lung to get to the cancerous tissue.

Stem Cell Transplant -Tandem

High dose chemotherapy
Tandem stem cell rescue

Radiation - 30 whole body radiation

Time Line

Date Test Treatment Chemicals Result
7/7/04 0 Surgery 0 Removed a tumor in spleen
7/28/04 0 Chemotherapy 1 Vincrinstine, Cyclophosomide, Doxyrubicine 0
8/18/04 0 Chemotherapy 2 Vincrinstine, Cyclophosomide, Doxyrubicine 0
9/10/04 0 Chemotherapy 3 0 Vincrinstine, Cyclophosomide, Doxyrubicine
10/14/04 CT Chemotherapy 4 - protocol changed, new drugs started Etoposide, Ifosomide No significant improvement in tumor size, largely unchanged.
11/04 CT Chemotherapy 5 Etoposide, Ifosomide Significant reduction in the sizes of the tumors.
12/13/04 0 Chemotherapy 6 Etoposide, Ifosomide 0
1/05 CT Chemotherapy 7 Etoposide, Ifosomide No evidence of cancer in belly or lymph nodes. Tumors still in liver.
2/2/05 0 Radio Frequency Ablation Procedure 0 Abalated 8 out of 14 tumors growing in the liver.
2/14/05 0 Chemotherapy 8 Etoposide, Ifosomide 0
3/05 0 Chemotherapy - 9 - slightly modified Etoposide, Ifosomide 0
4/5/05 CT 0 0 Surgery canceled. No evidence of disease in abdomen. Liver lesions now measured in millimeters rather than centimeters so best to continue chemotherapy.
4/11/05 0 Chemotherapy 10 Etoposide, Ifosomide 0
5/05 0 Chemotherapy 11 Etoposide, Ifosomide 0
6/18/05 0 Chemotherapy 12 Etoposide, Ifosomide 0
7/5/05 CT 0 0 All tumors have shrunk or are very small.
7/05 PET 0 0 No evidence of disease
8/05 0 1st Stem Cell harvest and transplant 0 0
9/30/05 0 2nd Stem Cell Transplant 0 0
10/05 0 0 0 0
11/05 0 0 0 0
12/24/05 0 Radiation - 30 days of full abdominal radiation 0 0
1/06 0 0 0 Radiation stopped due to low blood counts
2/5/06 CT Biopsy in bone marrow to see why his blood counts are still low. Post stem cell result. 0 Spots on lungs and liver suspected to be fungus due to their shape.
2/26/06 CT 0 0 Old spots on lungs and liver disappeared. But new, smaller spots on lungs now.
3/06 0 Central line removed 0 Infection and fungus
4/06 0 0 0 Counts coming up, infection and fungus clearing up
5/22/06 CT 0 0 Clear scan. Fungus gone, infection gone.
6/06 CT 0 0 0
7/11/06 0 Radiation -30 days of full abdominal radiation 0 0
8/06 0 0 0 0
9/06 CT 0 0 No evidence of disease
10/06 CT Maintenance Drug - twice a day Celebrex No evidence of disease
11/06 0 Maintenance Drug - twice a day Celebrex 0
12/06 0 Maintenance Drug - twice a day Celebrex 0
1/07 0 Maintenance Drug - twice a day Celebrex 0
2/17/07 CT Maintenance Drug - twice a day Celebrex No evidence of disease
3/07 0 0 0 0
4/07 0 0 0 0
5/07 CT 0 0 No evidence of disease
6/07 0 0 0 0
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
5/08 0 0 0 0
6/08 0 0 0 0
7/08 0 0 0 0
8/08 0 0 0 0
9/08 0 0 0 0
10/08 0 0 0 0
11/08 0 0 0 0
12/08 0 0 0 0
1/09 0 0 0 0
2/09 0 0 0 0
3/09 0 0 0 0
4/09 0 0 0 0
5/09 0 0 0 0
6/09 0 0 0 0
7/09 0 0 0 0
8/09 0 0 0 0
9/09 0 0 0 0
10/15/09 0 0 0 Passed away


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