Patient name: Confidential
DOB: 01/24/1976
Date of Admission: 05/20/07
Admission Diagnosis: Right Cortical Adrenal Adenocarcinoma; lymph node, lung and liver metastasis
Date of Discharge: 06/11/07
Discharge Diagnosis: Same as admission diagnose

Background:
The patient is a 31 year old female patient who bagan feeling sick in October 2005. Her symptoms were weakness, joint pain, particularly in the knees, edema of the legs, face, and neck, and abdominal distension. An abdominal ultrasound was performed and reported a tumor mass on the right supra adrenal gland. High urine levels of cortisone were also reported. She underwent surgery and removal of a tumor measuring 8 x 6 x 5 cm. She continued on cortisone supplement (dexametasone) to shut down the contra lateral supra adrenal gland, and remained in remission for one year. December 2006, a CT scan suggested metastasis lesions of the liver and lung. Chemotherapy was given (doxorubicin, cysplatin, and Vp16), 4 cycles of 10 days.

Treatment and conclusion:
The patient came to our clinic with severe chemo toxicity such as weakness, hair loss and weight loss of 20 pounds. These symptoms began with the first cycle of chemotherapy.
May 22, 2007, Doppler Color sonogram showed a lesion in the left lobe of the liver of 27 x 19 mm with a definite blood flow. The liver presented normal size. The patient had 21 days of SonoPhotoDynamic Therapy and received 80 mg of Raphachlor followed by 1 hour of white light, 45 minutes of sound at 1 MHz power and 2.3 mega watt, 30 minutes of full body hyperthermia and 45 minutes of laser at 680 nanometers and frequency power of 980 mega watts. A second Doppler Color sonogram showed that the liver lesion could not be seen nor was there any remaining evidence of vascularity in that area. The only possible conclusion is that SonoPhotoDynamic Therapy killed the tumor.