Confirmation of diagnosis

Treatment

Confirmation of recurrence

Confirmation of response to PBT

Molecular profiling

Pathology

Radiology

Patient

Place and date

Diagnosis

Place and date

Diagnosis

Place and date

Assessment

Place and date

Assessment

OSD (days)

OST (days)

1

Regional medical center

February 20, 2007

APMD

Regional radiology CT February 1, 2007

Large pancreatic mass (head and body)

Gemcitabine and oxaliplatin February-July 12, 2007

Regional medical center CT June 19, 2007

Recurrence

Multiple liver, spleen, and lymph nodes metastases

5-fluorouracil + leucovorin July 15-November 1, 2007

Regional medical center CT November 6, 2007

Recurrence

Stage at admission to BC: IVB, recurrent

BC. November 28, 2007. PB, erlotinib, capecitabine, BVZ

Regional radiology PET/CT February 19, 2008

SD

853

572

VEGF- elevated (blood)

2

Cancer institute October 29, 2008

APMD

Regional hospital CT September 5, 2008

Mass in pancreatic head

Whipple procedure September 9, 2008

Infiltration of portal and superior mesenteric vein. Multiple liver, lung, and lymph node metastases.

Gemcitabine x3 November- December 2009

Cancer institute CT February 22, 2009

Recurrence

Stage at admission to BC: IVB, recurrent

BC. March 12, 2009 PB, sorafenib, rapamycin, erlotinib, vorinostat, BVZ. Discontinued sorafenib, vorinostat, erlotinib, BVZ May 27, 2009 capecitabine, oxaliplatin

Regional radiology PET/CT June 8, 2009

PR

486

302

VEGF- elevated (blood)

3

Regional hospital May 13, 2008

APMD

Regional radiology CT March 26, 2008

Mass in body and tail of pancreas

Whipple procedure, splenectomy, wedge resections of the stomach May 9, 2008