Mar 06, 2010 - 10:31 pm
50 y.o. otherwise healthy male Houston TX area. Dxd with metastatic tumors of unknown primary origin January 08 2010. Mets to spinal column (t2-t4) liver, and abdominal lymphs. Surgery to remove spinal tumor January 8th discharged hospital January 15. Radiation to tumor margins of spine MD Anderson Feb. 10 sessions total. 13cm lesion on liver under PET/CT. Chemo regimen started Feb 22nd MD Anderson. Cisplatin/Gemzar 2 week cycles duration unknown. Prognosis dependent on reduction of tumor burden after session 2-3 chemo.
First chemo tolerated well. On day of chemo, infused with hydration then Emend per oral 125mg (NK-1 receptor blocker) then per oral Emend 80mg capsules morning two and three post infuion. Also treated with Zofran (5HT-3 blocker) injected into line day of infusion then sent home with #12 per oral Zofran tablets taken every 8 hours as needed. Also given Decadron 10mg injection at time of infusion and given per oral tablets of phenergan taken as needed for self administration.
Have experienced no emesis or nausea of notable duration during round one. Hair has remained intact with no visible thinning at time of writing post 1st cycle infusion day 13. Fatigue and malaise days 3-5 post infusion and stamina getting better at the time of this writing. Appetite has remained good but radiation has made the lower esophagus/upper duodenum tender. I am 3 weeks post radiation at this time but upper GI tract remains tender/unsettled. Eating requires tenacity and smooth/easily digested foods. Also taking laetrile (raw apricot kernels # 10-15 per day) with enzyme supplement.
Will continue to post as we move forward. There is no topic board for tumors of unknown primary origin so I am starting this small thread. -Brett