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 (Months)

OST (Months)

RECURRENT (PERSISTENT) AFTER CHEMOTHERAPY AND RADIATION THERAPY

1

University hospital

August 16, 2001

Malignant mesothelioma right pleural effusion positive for malignancy

University hospital CT August 8, 2001

Omental nodularities, ascites, pleural effusion

Exploratory laparoscopy, partial omentectomy, total abdominal hysterectomy and bilateral salpingo- oophorectomy August 10, 2001

157.3

+

150.2

+

Paclitaxel and carboplatin x3 August 21, 2001- October 3, 2001

Regional radiology CT November 7, 2001

Recurrence

Topotecan to February 29, 2002

Thalidomide to March 12, 2002

Regional radiology March 12, 2002

Persistent disease

Stage at admission to BC, Stage IV pleural and peritoneal malignant mesothelioma

BC. March 19, 2002. PB

Regional radiology PET December 6, 2002 and March 14, 2003

CR

2

University hospital May 4, 2005

Malignant mesothelioma

Regional radiology CT April 18, 2005

Mass within the left lower lobe, mediastinal lymph nodes, left pleural effusion

Decortication and pleurodesis May 5, 2005. RT × 3 days

Regional radiology CT September 21, 2005

Recurrence

13.8

9.0

Stage at admission to BC: Stage IV, Pleural malignant mesothelioma

BC. September 29, 2005 PB, erlotinib, imatinib, sorafenib, methotrexate.

Regional radiology CT November 25, 2005

PD

VEGF and EGFR- elevated (blood)

3

University hospital July 6, 2006

Malignant mesothelioma

Regional medical center CT

June 15, 2006

Very large left pleural effusion. Large mass involving the left lateral aspects of the arch of aorta.

Pemetrexed July 18, 2006

Regional radiology CT/PET August 1, 2006

Persistent disease

40.0

27.6