User:Jimjim7

Patient information Name:Dimitrios Papageorgiou Age:13 Sex:male Diagnosed:7/9/2010 Passed away:19/3/2012 Location:Athens,Greece Diagnosis:DSRCT,abdominal tumors, the largest one 9x9x8,2 between bladder and rectum,enlarged lymph nodes,no distant metastasis, solid organs ok Hospital:Agia Sophia,Athens University klinikum Heidelberg, Germany Status:no evidence of desease December 2010 Relapse:11/21/2011

Treatment Chemotherapy: EWS96 protocol, consisting of 9 courses, drugs: cyclofosfamide,andriamycin,. actinomycin, vincristine, mesna Maintenance:trofosfamide,idarubicin,etoposide. o-tie Topotecan,etoposide and Valproate acid

Surgeries:cytoreductive plus HIPEC with mitomycin D and Cisplatin. All visible tumors removed, as well spleen, lymph nodes, peritoneum, halph of the right diaphragm,a part of intestine, ileostomia and etc.12hours Reparatory surgery:ileostomia fixed 6 hour surgery to remove the residual decease (after the relapse) All surgeries done in Germany

Radiation:IMRT 20 sessions of total abdominal radiation, Germany

Time line

9/7/2010:biopsies, DSRCT, Hickman 9/15/2010:chemotherapy, vincristine, cyclofosfamide, doxorubicin,mesna 10/5/2010:chemotherapy 10/28/2010:ct, good response 11/4/2010:chemotherapy 12/11/2010:laparoscopy 12/20/2010:cytoreductive surgery plus HIPEC with mitomycin D and cisplatin,everything was stripped out,ileostomia, 12/30/2010:released from hospital 1/19/2011:abdominal ultrasound, clear 1/20/2011:chemotherapy 2/14/2011:chemotherapy 2/28/2011:ct scan, no evidence of desease 3/8/2011:surgery, ileostomia was fixed, abdominal biopsies were taken 3/14/2011: biopsies negative 3/28/2011:ct scan, no evidence of desease 3/30/2011: chemotherapy 4/26/2011: chemotherapy 5/18/2011: chemotherapy 6/10/2011: chemotherapy 6/30/2011: ct scan, no evidence of desease 7/1/2011: surgery Hickman removed 7/2/2011: o-tie chemotherapy, trofosfamide and idarubicin 8/6/2011: chemotherapy, trofosfamide and etoposide 9/29/2011:chemotherapy, trofosfamide and idarubicin 10/24/2011:chemotherapy 11/15/2011:chemotherapy 11/21/2011:ct scan,relapse, three lymph nodes enlarged, thorax ct ok 12/6/2011:surgery, removed three retroperitoneal very small tumors and lymph nodes, biopsies were taken from the abdominal cavity 12/15/2011:biopsies negative, lymph nodes were not infiltrated 1/3/2012: IMRT 20 sessions total abdominal 2/2/2012: radiation finished 2/14/2012:abdominal ct scan clear, but thorax ct revealed large mediastinal tumor, fungal infection and enlarged lymph nodes,head ct scan showed multiple lumps in the hairy skin of the head 2/17/2012: chemotherapy, vincristine and temodar 3/6/2012: chemotherapy, topotecane and etoposide 3/15/2012: breathing problems and chest pain 3/19/2012: passed away WIkia DSRCT