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In Memory

Smsunfl Adam

Patient Information

Age: 16

Sex: Male

Diagnosed: 07/28/95

Location: Pennsylvania

Diagnosis: Discovered tumors after a car accident. One football sized tumor in his lower abdomen had broken off and was responsible for internal bleeding. The surgeons left several tumors (two golf ball sized and one baseball sized) unresected. Diagnosed as DSRCT

Hospital Penn State University Children's Hospital, Hershey, Pennsylvania

Oncologist Dr. David Ungar, MD
Consultant - Dr Brian Kushner
Surgeon - Dr. Paul Sugarbaker Washington Hospital Center Washington, D.C.

Passed Away: 09/9/97

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Treatment

Chemotherapy

First Line Chemotherapy
P6 Protocol
Courses 1, 2, 3, and 6 Cyclophosphamide, Doxorubicin, and Vincristine (HD-CAV)
Courses 4, 5, and 7 Ifosfamide, Etoposide
5 day inpatient hospital stays every 3-4 weeks.
Second Line Chemotherapy
VICE = Vincristine, Ifosfamide, Cisplatin, and Etoposide
Third Line Chemotherapy
Topetecan
Fourth Line Chemotherapy
Oral Etoposide (VP-16)

Surgery

Dr. Paul Sugarbaker
Aggressive resection and intraperitoneal chemotherapy

Time Line

Date Test Treatment Chemicals Result
07/95 0 Chemotherapy 1 - P6 Cyclophosphamide, Doxorubicin, and Vincristine Discovered tumors after car accident.
8/95 0 Chemotherapy 2 - P6 Cyclophosphamide, Doxorubicin, and Vincristine 0
9/95 0 Chemotherapy 3 - P6 Cyclophosphamide, Doxorubicin, and Vincristine 0
10/95 0 Chemotherapy 4 - P6 Ifosfamide, Etoposide 0
11/95 0 Chemotherapy 5 -P6 Ifosfamide, Etoposide 0
12/95 0 Chemotherapy 6 - P6 Cyclophosphamide, Doxorubicin, and Vincristine 0
1/96 0 Chemotherapy 7 - P6 Ifosfamide, Etoposide Completed Chemo
2/96 0 0 0 0
3/26/96 0 Surgery Aggressive resection and intraperitoneal chemotherapy Clinically free of disease
4/96 0 0 0 0
5/96 CT 0 0 Small spot on liver
6/96 0 Chemotherapy VICE = vincristine, ifosfamide cisplatin, and etoposide 0
7/96 0 Surgery for complications of bowel 0 Stopped chemotherapy
8/96 0 Chemotherapy VICE = vincristine, ifosfamide cisplatin, and etoposide 0
9/96 CT 0 0 Stopped chemotherapy after small amount of tumor growth noted.
10/96 0 Chemotherapy topetecan 0
11/96 0 Chemotherapy topetecan 0
12/96 0 Alternative Treatment 0 Drank concentrated liquid Aloe Vera combined with intensive vitamin/nutritional supplementation and felt better.
1/97 0 0 0 0
2/97 0 0 0 0
3/97 0 0 0 0
4/97 0 0 0 0
5/97 CT 0 0 Cancer had spread further and was now in liver.
6/97 0 0 0 0
7/97 0 Chemotherapy - Daily Oral VP-16 Devastating effect on blood counts
8/97 0 Chemotherapy - Daily Oral VP-16 0
9/9/97 0 Stopped Oral VP-16 0 Passed Away

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