Timeline of Tyler's Treatment Plan

Week  Cycle  Date Done  Treatment  Studies 
1     Cisplatin
Etoposide
GCSF 
 
2       OV, CBC, diff/platelet 
3       OV, CBC, diff/platelet 
4     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       OV, CBC, diff/platelet, PBSC harvest
6       OV, CBC, diff/platelet
7     Ifosfamide
Etoposide
Mensa
GCSF
OV, CBC, diff/platelet, Chem 7, Ca,
Mg, Phos, Alk. Phos, ALT/AST,
Bili, TP, Alb
8       OV, CBC, diff/platelet, CT Tumors
9       OV, CBC, diff/platelet, BMA/BX
10     VCR
CTX
Mesna
Doxo
GCSF
OV, CBC, diff/platelet, Chem 7, Ca,
Mg, Phos, Alk. Phos, ALT/AST,
Bili, TP, Alb
11      OV, CBC, diff/platelet
12       OV, CBC, diff/platelet
13     Etoposide
Carboplatin
GCSF
OV, CBC, diff/platelet, Chem 7, Ca,
Mg, Phos, Alk. Phos, ALT/AST,
Bili, TP, Alb
14       OV, CBC, diff/platelet
15       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