Week | Cycle | Date Done | Treatment | Studies |
1 | 1 |
Cisplatin Etoposide GCSF |
||
2 | 1 | OV, CBC, diff/platelet | ||
3 | 1 | OV, CBC, diff/platelet | ||
4 | 2 |
VCR CTX Mesna Doxo GCSF |
OV, CBC, diff/platelet, Chem 7, Ca, Mg, Phos, Alk. Phos, ALT/AST, Bili, TP, Alb, Pre BMT serologies |
|
5 | 2 | OV, CBC, diff/platelet, PBSC harvest | ||
6 | 2 | OV, CBC, diff/platelet | ||
7 | 3 |
Ifosfamide Etoposide Mensa GCSF |
OV, CBC, diff/platelet, Chem 7, Ca, Mg, Phos, Alk. Phos, ALT/AST, Bili, TP, Alb |
|
8 | 3 | OV, CBC, diff/platelet, CT Tumors | ||
9 | 3 | OV, CBC, diff/platelet, BMA/BX | ||
10 | 4 |
VCR CTX Mesna Doxo GCSF |
OV, CBC, diff/platelet, Chem 7, Ca, Mg, Phos, Alk. Phos, ALT/AST, Bili, TP, Alb |
|
11 | 4 | OV, CBC, diff/platelet | ||
12 | 4 | OV, CBC, diff/platelet | ||
13 | 5 |
Etoposide Carboplatin GCSF |
OV, CBC, diff/platelet, Chem 7, Ca, Mg, Phos, Alk. Phos, ALT/AST, Bili, TP, Alb |
|
14 | 5 | OV, CBC, diff/platelet | ||
15 | 5 |
CBC, diff/platelet, BMT OV, CT/MRI, MIBG, Bone scan, Echo, PFT, Audiogram, Dental, Opthamology, GFR, XRT refferal |
Start chemotherapy cycles 2-5: If ANC > 750 If PLT > 75,000 If no evidence of mucositis If ALT/AST < 10x ULN |
Continue GCSF until ANC > 10,000 x1 post nadir #If not completely resected at diagnosis *If positive at diagnosis |