In Memory[]
Keegan[]
--
Keegan's Senior Photo
LisaOtt 19:40, 12 November 2008 (UTC)LisaOtt 19:41, 12 November 2008 (UTC)Mom
Patient Information[]
Age: 15
Sex: Male
Diagnosed: 2/04
Location: North Dakota
Diagnosis: DSRCT. One Tumor goes from left outside pelvic bone to the middle of the right pelvic bone. Surgery removed a football sized tumor, a tennis ball size tumor, and many other tiny ones found on the "fatty tissue" around the "guts".
- Differentials: Rhabdomyosarcoma
Hospital
- Oncologist: Dr. Nathan Kobrinsky
- Surgical Oncologist: Dr. Mistry
No evidence of disease: 6/29/04
Relapse
- 4/21/05
- 6/08/06
Passed Away: 10/9/06
Treatment[]
Surgery - debulking
Chemotherapy
- Alimta and Cisplatin
Stem Cell
Radiation
Chemotherapy
Time Line[]
| Date | Test | Treatment | Chemicals | Result |
|---|---|---|---|---|
| 2/04 | 0 | Surgery | 0 | Debulking tumors |
| 3/11/04 | 0 | Chemotherapy | 0 | 0 |
| 4/1/04 | 0 | Chemotherapy | 0 | 0 |
| 5/15/04 | 0 | Chemotherapy | 0 | 0 |
| 6/29/04 | CT | Chemotherapy | 0 | Unremarkable CT, no evidence of disease |
| 7/04 | 0 | Chemotherapy | 0 | 0 |
| 8/04 | 0 | Chemotherapy | 0 | 0 |
| 9/04 | 0 | Chemotherapy | Alimta and Cisplatin | 0 |
| 10/04 | 0 | Chemotherapy | Alimta | Stopped the cisplatin after going into anaphalactic shock |
| 11/04 | 0 | 0 | 0 | 0 |
| 12/3/04 | 0 | Chemotherapy | 0 | Final chemo |
| 12/22/04 | CT | 0 | 0 | CT clear, no evidence of tumors |
| 1/05 | 0 | 0 | 0 | 0 |
| 2/05 | 0 | 0 | 0 | 0 |
| 3/05 | 0 | 0 | 0 | 0 |
| 4/21/05 | CT | 0 | 0 | Four new tumors |
| 5/4/05 | 0 | Surgery | 0 | Five tumors removed during five hours of difficult surgery. Tumors in chest not removed. |
| 5/24/05 | 0 | Surgery, start chemo | 0 | Port placed |
| 6/3/05 | CT | 0 | chemotherapy | Chest tumors shrunk by 50% |
| 6/28/05 | CT | 0 | 0 | Minimal tumor in chest, large tumor near rectum, and scarring or a small tumor between the right kidney and liver. |
| 7/05 | 0 | Chemotherapy | 0 | 0 |
| 8/27/05 | CT | Chemotherapy | 0 | Tumor in chest area disappeared (no chest surgery), tumor between kidney and liver seems to be absorbing into the tissue, and the tumor in the rectal area has reduced by nearly 50%. |
| 9/19/05 | 0 | Chemotherapy | 0 | 0 |
| 10/11/05 | CT | Chemotherapy | 0 | Scans showed the tumors have steadily reduced. |
| 11/24/05 | 0 | HD chemotherapy | VP 16 1000 mg/m2 , Thiotepa 300 mg/m2 | 0 |
| 11/25/05 | 0 | HD Chemotheraphy | Thiotepa 300 mg/m2 | 0 |
| 11/26/05 | 0 | HD Chemotherapy | Thiotepa 300 mg/m2 | 0 |
| 11/27/05 | 0 | HD Chemotherapy | Cytoxan 50 mg/kg with Mesna | 0 |
| 11/28/05 | 0 | HD Chemotherapy | Cytoxan 50 mg/kg with Mesna | 0 |
| 11/29/05 | 0 | HD Chemotherapy | Cytoxan 50 mg/kg with Mesna | 0 |
| 11/30/05 | 0 | HD Chemotherapy | Cytoxan 50 mg/kg with Mesna | 0 |
| 12/1/05 | 0 | Rest for day | 0 | 0 |
| 12/2/05 | 0 | Stem Cell Infusion | 0 | 0 |
| 12/3/05 | 0 | 0 | 0 | 0 |
| 12/4/05 | 0 | 0 | 0 | 0 |
| 12/5/05 | 0 | 0 | 0 | 0 |
| 12/6/05 | 0 | 0 | 0 | 0 |
| 12/7/05 | 0 | 0 | 0 | 0 |
| 12/8/05 | 0 | 0 | 0 | 0 |
| 12/9/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/10/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/11/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/13/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/14/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/15/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/16/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/17/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/18/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 12/19/05 | 0 | G-CSF 5 mcg/kg/day | 0 | 0 |
| 1/13/06 | 0 | 0 | 0 | Hospitalized for high fever. Central line infection. |
| 1/19/06 | CT | 0 | 0 | No evidence of disease. Weight loss. |
| 1/30/06 | 0 | 0 | 0 | Hospitalized with high fever |
| 2/06 | 0 | Radiation | 0 | 0 |
| 3/11/06 | 0 | 0 | 0 | No evidence of tumor. Cancer Free. All treatment stopped. |
| 4/06 | 0 | 0 | 0 | 0 |
| 5/06 | 0 | 0 | 0 | Pains in back |
| 6/8/06 | CT | 0 | 0 | Relapse. Two tumors (about 7 cm each) in the abdomen |
| 7/1/06 | CT | Aggressive chemotherapy. Port placed. | 0 | Multiple small nodules at left lung base(largest 5 mm)
Large (9x10 cm)right central abdominal mass, extending from beneath the diaphragm to just above the level of the iliac crest (hip bone.) Upper port of the mass invades the liver and pancreas and displaces the pancreas. IVC (large venous trunk which receives blood from lower extremities and from pelvic and abdominal organs. It travels through the abdomen (from lower extremities) and returns blood to right atrium of heart) is displaced laterally and infiltrated by mass. Small satellite masses extend into the gallbladder fossa (a portion of the liver). Mass encases adjacent vascular organ networks. Mass encases right renal artery and left renal vein. Right kidney is displaced and liver is infiltrated with mass. Blockage at junction of renal pelvis and ureter. Mass displaces and invades right psoas muscle (An internal muscle arising from lumbar vertebrae and inserted into femur). |
| 8/5/06 | CT | 0 | 0 | Cancer has moved into liver and bone marrow. |
| 9/06 | 0 | 0 | 0 | Disease progression. |
| 10/9/06 | 0 | 0 | 0 | Passed away. |
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