Dr - LIVESTRONG Care Plan
Dr - LIVESTRONG Care Plan
Dr - LIVESTRONG Care Plan
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Cancer Therapy Treatment Summary<br />
Name: Joe Smith Date of Birth: 11/15/1945<br />
Cancer diagnosis/ type: Rectal cancer<br />
Date of diagnosis: 1/2/2009 Diagnosis given by: <strong>Dr</strong>. Jones<br />
Cancer therapies<br />
Type of surgery: Transabdominal resection and lymph node dissection<br />
Date of surgery: 3/25/2009 Surgeon: <strong>Dr</strong>. Rosato<br />
Performed at: Hospital of the University of Pennsylvania<br />
Pathology Findings<br />
Tumor type: Adenocarcimona<br />
Staging: T 3 N 1 M 0 Stage: IIIB<br />
Relevant pathology findings: Grade 2, all margins clear<br />
Lymph node status: 2/15 lymph nodes positive for cancer<br />
Initial work-up abnormalities:<br />
Tumor found on colonoscopy done due to anemia<br />
CEA at diagnosis 42, liver function tests normal, CT scans show no<br />
evidence of metastases<br />
Medical Therapy Administered by: <strong>Dr</strong>. Weijing Sun /
Nurse Suzy Miller<br />
Medication Dose & Route <strong>Plan</strong>ned<br />
schedule<br />
85 mg/m<br />
Oxaliplatin<br />
(FOLFOX)<br />
2 Every 2<br />
Given IV on day weeks x 12<br />
1<br />
cycles<br />
5-FU (with leucovorin)<br />
5-FU<br />
5-FU given with radiation<br />
therapy prior to surgery<br />
400 mg/m 2<br />
Given IV on day<br />
1 & 2<br />
Leukovorin<br />
200mg/m2 600 mg/m2 Same Same<br />
Given IV over 22<br />
hours on days 1<br />
& 2<br />
Dates given / any<br />
dose reduction<br />
4/27/09-9/12/09<br />
Last 2 doses reduced<br />
by 25% due to<br />
neuropathy<br />
Same 4/27-9/12/09<br />
1/5-2/9/09<br />
As planned<br />
Notes about medical treatment<br />
Was the treatment planned changed, if so, why? Dose reduced due to<br />
neuropathy<br />
List any major side effects of medical therapy<br />
Neuropathy requiring dose reduction and treatment with gabapentin for 1<br />
year.<br />
Radiation Therapy<br />
Radiation therapy plan Physician: <strong>Dr</strong>. Metz<br />
Type of radiation therapy: 3D conformal radiation
Area in treatment field: tumor bed, presacral and internal iliac nodes<br />
Total planned dose: 45 Gy Total dose received: 45Gy<br />
Total number of planned fractions (sessions): 25<br />
Date radiation therapy started: 1/5/09 Date completed: 2/9/09<br />
Any notable side effects: Diarrhea, skin toxicity. No doses missed or<br />
delayed.<br />
Oncology Team Contacts<br />
Provider: <strong>Dr</strong>. Rosato Phone: 215-662-2033<br />
Address: HUP, 4 Silverstein<br />
Nurse Sally Fernandez, CRNP<br />
Provider: <strong>Dr</strong>. Metz Phone: 215-349-5570<br />
Address: HUP, CAM Ground Floor<br />
Provider: <strong>Dr</strong>. Sun Phone: 215-662-6319<br />
Address: HUP, CAM 4<br />
Nurse: Lori Harmer, CRNP<br />
Other therapy received:<br />
Notes about treatment:
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