Table 2.
Case | Tumor Stage (Evans) | PRETEXT Stage |
Preoperative Chemotherapy |
Response RECIST |
Resection | Site of Metastasis | Radiotherapy | Postoperative/Retrieval Chemotherapy | Outcome |
---|---|---|---|---|---|---|---|---|---|
1 | I | PRETEXT 2 | none | No | R0 | Yes Records not available |
vincristine, doxorubicin, cyclophosphamide, cisplatin, ifosfamide, etoposide, irinotecan, temozolomide |
DOD | |
2 | IV | PRETEXT 3 | cisplatin, doxorubicin | No | None | Lung, Brain | No | irinotecan, vincristine | DOD |
3 | IV | PRETEXT 3M | vincristine, cisplatin, doxorubicin | Yes CR-lung PR- liver |
R0 | Lung | Yes 1050cGy to whole lung 1050cGy to abdomen |
carboplatin, cyclophosphamide, etoposide | Alive at 8 years after diagnosis |
4 | IV | PRETEXT 2 | vincristine, irinotecan, cisplatin, doxorubicin, 5FU | Yes PR- liver PR-lung |
R0 | Lung | Yes 1050cGy to whole lung 1200cGy to abdomen 14.5Gy to cavity intra-op after recurrence |
ifosfamide, carboplatin, vincristine, cyclophosphamide, doxorubicin HD chemotherapy with autologous SCT Second surgical resection |
DOD |
5 | III | PRETEXT 2 | cisplatin, doxorubicin | No | None | Lung | No | pazopanib | DOD |
6 | III | PRETEXT 3 | vincristine, doxorubicin, cyclophosphamide | Yes PR-liver |
R1 margin |
Yes Proton beam 3000cGy to abdomen |
HD chemotherapy with autologous SCT | Alive at 1.5 years after diagnosis |
DOD: died of disease. Patient 1 had tumor rupture prior to surgery at diagnosis. In Patients 2 and 5, no resection was performed; however, patients received additional chemotherapy (listed under postoperative/retrieval chemotherapy). CR = complete response; PR = partial response.