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

RECURRENT (PERSISTENT) AFTER CHEMOTHERAPY AND RADIATION THERAPY

1

Regional medical center March 21, 2002

Adenocarcinoma of the colon, moderately differentiated

Regional radiology CT September 19, 2002

Metastatic lesions in the liver

Hemicolectomy and resection of the terminal ileum, cecum, ascending colon lymph nodes and a portion of the liver March 19, 2002

Regional medical center October 21, 2003

Metastatic adenocarcinoma to the lung, moderately differentiated

5-FU and leucovorin. Radiofrequency ablation to the liver

5-FU and leucovorin September 24, 2003 to October 20, 2003

Regional radiology PET September 24, 2003

Recurrence

5-FU, leucovorin and oxaliplatin October 2003 to May 4, 2004

Regional radiology PET May 4, 2004

Recurrence

BC. June 3, 2004 PB and trastuzumab

Regional radiology CT November 9, 2004

PD

HER-2-elevated (blood)

2

Regional hospital October 5, 2004

Adenocarcinoma of the colon, poorly differentiated

Regional radiology CT September 23, 2004

Multiple liver metastases

Exploratory laparoscopy, right colectomy and ileo-transverse anastomosis September 30, 2004

Cancer institute CT November 2, 2004

Recurrence

FOLFOX and BVZ November 9, 2004 to January 30, 2005

FOLFIRI February 28, 2005 to April 1, 2005

Cancer institute CT April 25, 2005

Recurrence

Clinical trial with panitumumab May 19, 2005 to June 30, 2005

Cancer institute CT July 12, 2005

Recurrence

Erbitux and irinotecan July 19, 2005 to August 16, 2005

Cancer institute CT August 16, 2005

Recurrence

BC. September 13, 2005 PB, capecitabine, erlotinib

Regional radiology CT November 7, 2005

PD

HER-2-elevated (blood)

3

Regional hospital January 7, 2004

Adenocarcinoma of the colon, moderately differentiated

Regional hospital CT January 9, 2004

Right hepatic lobe lesion

Right hemicolectomy January 5, 2004

FOLFOX January 29, 2004 to September 2004

Radiofrequency ablation of liver metastases September 16, 2004

FOLFIRI December 2004 to August 2005

Regional radiology CT/PET February 17, 2005

Recurrence

Radiofrequency ablation March 29, 2005

CT July 8, 2005

Recurrence