Payne
From Scratchpad
Contents |
[edit] In Memory
Steven
[edit] 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
[edit] Treatment
Surgery
- 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
[edit] 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 |
[BACK]
