Good News!
On Dec. 10, 2008, Casey returned to Rush University Medical Center for a whole body bone scan and CT scan of his chest, abdomen and pelvis. The CT scan results were read by the radiologist, and the next day Dr. Kent gave Casey some great news. The primary soft tissue tumor in his leg adjacent to the ischium of his pelvis has been reduced from 8.5 cm at the largest diameter to 6.9 cm.
[A little bit of math ... for those uninterested skip ahead :)]
If the tumor is volume estimated by the volume of a sphere, and the volume of a sphere is calculated by V=4/3(PI)r^3 where r was 4.25cm and now is 3.45cm the volume has changed from approximately 321 cubic centimeters to 172 cubic centimeters. This would be 46% reduction in volume! (Note: Casey is an engineer. These calculations come easy for him.)
The tumor is not a sphere, so this estimate isn’t completely accurate. But even a modest estimate would yield a 25-30% reduction in the tumor’s volume. This is exciting news as the odds of any chemotherapy being effective in even stopping a high-grade STS tumor from growing are unfavorable. The fact that the tumor is shrinking at such an aggressive rate is completely against all odds. It’s practically a miracle. The chemo is also active in reducing the iliac chain / lymph node in Casey’s hip, which is a secondary area of concern. (Cancer tends to spread to other regions of the body through the lymph nodes, so keeping this infection-free is important.)
The results prove that this treatment plan is effective in reducing the primary tumor. Although Principal Financial Group has shutdown the appeals process between them and Dr. Paul Kent, Dr. Kent is appealing to Principal once again with a letter explaining the good news + additional scientific data backing his treatment plan.
With these good results, the treatment plan is to continue with the chem drugs Gemcitabine and Taxotere, but no Avastin as this third is prohibitively expensive (about $8,000 a pop. Go to the “Donation” link for a full look at the financials of Casey’s chemotherapy. It’s a real eye-opener.) With any luck, Gemcitabine and Taxotere together will continue to be active in treating the tumor without Avastin.
Dec. 11 is day #1 of chemo for round #3. (ding) (ding) (ding)
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