In Memory
Patient Information
Age: 29
Sex: Male
Diagnosed: 6/01
Location: Bemidji, Minnesota
Diagnosis: Abdominal DSRCT
Hospital: Roger Maris
- Oncologist Dr. Kobrinsky
No Evidence of Disease: 12/2/02
Relapse: 6/26/03
Current: Passed away 12/25/03
Treatment
Chemotherapy
- Asparaginase, Actinomycin, Hydroxyurea
- Methotrexate with Leucovorin rescue
- HD-VAC
- Ifosfamide
- Thiotepa, Cytoxan
- Gemcitabine (Gemzar)
Surgery
Stem Cell Transplant
Radiation
Time Line
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 6/01 | CT | Biopsy surgery | Tumors | |
| 6/01 | 0 | Chemotherapy | Carboplatin | Some tumor shrinkage, but not much, stopped taking it |
| 7/01 | 0 | Chemotherapy | Weekly treatments of Asparaginase and Actinomycin and daily Hydroxyurea | 0 |
| 8/01 | 0 | Chemotherapy | Methotrexate with Leucovorin rescue | 0 |
| 8/8/01 | 0 | Chemotherapy | 0 | Daily Hydroxyurea |
| 8/15/01 | CT | 0 | 0 | Worked but not significant, changing chemo |
| 8/21/01 | 0 | Chemotherapy | Methotrexate with Leucovorin rescue | 0 |
| 9/5/01 | 0 | Chemotherapy | Methotrexate with Leucovorin rescue | 0 |
| 9/20/01 | CT | 0 | 0 | No change, did not grow, did not shrink |
| 9/24/01 | 0 | Chemotherapy | VAC | 0 |
| 10/24/01 | CT | 0 | 0 | Tumors shrunk by 50%. Completely cleared liver and spleen. Two major tumors left. |
| 10/30/01 | 0 | Chemotherapy | VAC | 0 |
| 11/21/01 | CT | 0 | 0 | Big tumor in the middle shrunk from 5.5cm to 5.3. The other one stayed the same. |
| 11/26/01 | 0 | Chemotherapy | VAC | 0 |
| 12/21/01 | CT | 0 | 0 | CT showed chest is clear. Spleen has a spot on it. Some shrinkage. |
| 12/31/01 | 0 | Surgery | 0 | Surgery revealed one huge tumor wrapped around organs. Removed 25% of pancreas and sliver from the Stomach. Biopsy reveal 25% of cancer was still active after all the chemo. Threat of microscopic activity remains. |
| 1/29/02 | 0 | Chemotherapy | VAC | 0 |
| 2/19/02 | 0 | Chemotherapy | VAC | 0 |
| 3/22/02 | 0 | Chemotherapy | Ifosfamide | 0 |
| 4/5/02 | None | Harvest stem cells | 0 | 0 |
| 4/16/02 | 0 | Stem Cell Transplant | Thiotepa,Cytoxan | 0 |
| 5/8/02 | 0 | 0 | 0 | Home from Transplant |
| 5/21/02 | 0 | 0 | 0 | Bacterial infection: Clostridium Difficile |
| 6/31/02 | CT | 0 | 0 | CT clear. No evidence of disease. Bone marrow test came back normal. |
| 7/02 | 0 | 0 | 0 | 0 |
| 8/28/02 | 0 | Radiation 40 days total | whole abd radiation for 23 days | 0 |
| 9/21/02 | 0 | Radiation:localized Site of Previous tumor 17 days | 0 | 0 |
| 10/21/02 | 0 | Radiation | 0 | 0 |
| 11/21/02 | 0 | 0 | 0 | Last day of radiation. |
| 12/12/02 | CT | 0 | 0 | Clear. No evidence of disease. |
| 1/03 | 0 | 0 | 0 | 0 |
| 2/03 | 0 | 0 | 0 | 0 |
| 3/25/03 | CT | 0 | 0 | Two spots on lungs, inconclusive. |
| 4/03 | 0 | 0 | 0 | 0 |
| 5/1/03 | CT | 0 | 0 | Undecided whether relapse or if two spots are fungus. |
| 5/3/03 | 0 | Surgery to biopsy the spots on lung | 0 | Results from biopsy showed no sign of cancer. |
| 6/26/03 | 0 | 0 | 0 | Pain in side. Went to ER. |
| 6/27/03 | CT | 0 | 0 | Relapse: 10-15 cm tumor and 50-100 nodes in Liver. |
| 7/15/03 | 0 | Chemotherapy | Irinotecan and Cisplatin | Cancer is advanced with only 20% of liver functioning. |
| 7/21/03 | 0 | Chemotherapy | Irinotecan and Cisplatin | 0 |
| 8/25/03 | 0 | Chemotherapy | Irinotecan and Cisplatin | 0 |
| 9/1/03 | CT & PET | 0 | 0 | Cancer shrinking from liver. No affect on larger tumor. |
| 9/10/03 | 0 | Chemotherapy | Irinotecan and Cisplatin | 0 |
| 10/10/03 | CT | 0 | 0 | Some tumors smaller, some tumors larger. WBC too low to start chemo. Stem cell hindered ability for marrow to produce as it should. |
| 10/28/03 | 0 | Chemotherapy | Gemcitabine | 0 |
| 11/13/03 | 0 | 0 | 0 | Think tumor is growing making it difficult to eat. More pain each day. |
| 11/17/03 | 0 | 0 | 0 | Tumor by liver painful. Can now see lumps and bumps. Stomach is growing. |
| 11/20/03 | 0 | Chemotherapy | Velcade | 0 |
| 11/24/03 | 0 | Chemotherapy | Velcade | 0 |
| 11/28/03 | 0 | Chemotherapy | Velcade | 0 |
| 11/30/03 | 0 | 0 | 0 | Trouble sleeping, most comfortable position is upright. |
| 12/2/03 | 0 | Chemotherapy | Velcade | 0 |
| 12/4/03 | 0 | 0 | 0 | Retaining fluid. |
| 12/16/03 | 0 | 0 | 0 | Fluid being tapped and drained. |
| 12/17/03 | 0 | Chemotherapy | Irinotecan and Oxaliplatin | 4.4 litres of fluid drained. |
| 12/23/03 | 0 | 0 | 0 | Treatment stops: Hospice Begins- on Oxygen Level 15 |
| 12/25/03 | 0 | 0 | 0 | Chad passes away at 11:05PM |
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