Figure 1.

Time line of events in the patient's history, in months after diagnosis. Diagnosis of initial disease or relapse displayed above the time line; interventions displayed below the time line. The patient was initially treated with neoadjuvant and adjuvant chemotherapy sandwiched around a large resection of the primary site of disease. This was followed by several relapses that were treated with the surgeries and chemotherapy regimens as indicated. Please see text for further details. Chemotherapy regimens: AP, cisplatin and doxorubicin (adriamycin); MEI, methotrexate, etoposide, and ifosfamide; IVP, ifosfamide, etoposide, and cisplatin; GD, gemcitabine and docetaxel.