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Thursday, October 28, 2010 7:38 AM CDT

Daniel had his annual checkup at the Survivorship Clinic yesterday. He got himself so worked up about getting the bloodwork and really had a hard time with it. I had a Child Life Specialist come to be with him for it and she was great. She spent time afterward with him until he calmed down. She brought out the practice doll, Winston, and let Daniel give him some needles and take his blood. Daniel gave the doll 4 needles before he was ready to go. Later that night, Daniel was complaining that his arm was hurting and I said to him, “You did great. Poor Winston got 4 needles!” Daniel replied, “That was so he doesn’t need to get any more for 4 years.” Sweet!

Everything looks great! Daniel can continue working on #3:

To Do List:
1. Beat Cancer
2. Grow Hair
3. Live My Dreams


Monday, September 27, 2010 4:35 PM CDT

FODC Logo

The Friends of Daniel Cooper Team



2010 Parkway Run/Walk for Children’s Cancer Research


Sunday, September 26, 2010



It was a great day! We had 126 team members on the Friends of Daniel Cooper Team and the event had 8,000 participants. The Parkway Run/Walk raised over $275,000 for The Cancer Center at CHOP. The total gift to The Cancer Center over the past five years has reached $3 million! Your participation makes a difference!

THANK YOU TO EVERYBODY WHO REGISTERED OR DONATED TO SUPPORT THIS CAUSE IN HONOR OF DANIEL. WE ARE TRULY GRATEFUL TO HAVE YOU ON OUR FRIENDS OF DANIEL COOPER TEAM.

Photos from the 2010 Parkway Run/Walk:



Photos of Daniel at the Parkway Run/Walk:



Photos of the Parkway Run/Walk from the past 5 years:



THANK YOU to our SPONSORS!
MOMS Logo
TD Bank Logo

Iacobucci Logo

Fore Site Logo

Colonial Village

Cutting Edge Cuts


Get a playlist! Standalone player Get Ringtones


AND CHECK OUT THIS AWESOME VIDEO FROM THE 2005 PARKWAY RUN/WALK FEATURING DANIEL!






Watch the video, Our Littlest Soldiers, which Daniel has a big part in narrating! The video below is Daniel reciting the entire poem. Great job Daniel!





Tuesday, June 8, 2010 9:00 AM EST

WE DID IT! WE HAVE 126 TEAM MEMBERS AND WE WILL BE GETTING OUR OWN TEAM TENT ON THE PARKWAY TO MEET AT! THANKS TO EVERYBODY WHO REGISTERED OR DONATED!

FODC Logo


Join The Friends of Daniel Cooper Team for the


2010 Parkway Run/Walk for Children’s Cancer Research


Sunday, September 26, 2010



www.parkwayrun.com

Four Seasons Hotel
One Logan Square
18th St. and Benjamin Franklin Parkway
Philadelphia, PA

Sunday, September 26, 2010
**Early Registration Deadline is Sept. 12th**

Registration Opens @ 7:00 am
Race Starts @ 8:30 am

Our goal is a simple one – to support the Children’s Hospital of Philadelphia in finding cures for pediatric cancers that still elude us and to improve the health and lifestyle of pediatric cancer survivors for years to come.

FODC Logo
Join the Friends of Daniel Cooper Team!


5K Run and Family Fun Walk

Join the fun at this annual event that raises funds to help cure cancer in children through research at The Cancer Center at The Children’s Hospital of Philadelphia, the nation’s premier pediatric oncology program.

Our team, Friends of Daniel Cooper, was created in honor of my son, Daniel, who was diagnosed with Neuroblastoma. This event has provided The Children’s Hospital with over $2.4 million to research new cures and create a better life for the increasing number of survivors. Daniel is one of those survivors, so we know it is working.

We would be grateful and honored to have you sign up as members of our team. We are always looking to add members to our team to support this important cause. Your participation makes a difference. Our team has had over 100 members the last 5 years and we can do it again with your help!

Presented by the Four Seasons Hotel, the 5K Run/2K Family Fun Walk follows the scenic Ben Franklin Parkway and West River Drive, includes a lavish post-race buffet you won't want to miss, and a free event t-shirt and team t-shirt for everyone that registers! Teams with 100 or more participants by Sept. 12th get their own canopy tent to meet at.

Anybody wanting to join our team can either sign up under our team name (Friends of Daniel Cooper) at www.parkwayrun.com or forward their email address to barbe2700@yahoo.com to be added to our Evite invitation. Team members need to be registered by Sept. 12th.

Hope you can join The Friends of Daniel Cooper Team!

"Together we can make a difference for kids with cancer."



Click here to REGISTER (free) (Click "Join Barbara's Team!") or DONATE
**Online Registration closes 9/19 @ midnight**

Click here to VIEW TEAM PAGE


REGISTRATION FEES: Register early (by 9/12): Adults $25.00, Kids $12.00.
Register 9/13-9/19: Adults $30.00, Kids $14.00.
Register after 9/19: Adults $35.00, Kids $15.00

Parking is available at 18th & Cherry Streets. The event will be held rain or shine.


Wednesday, February 10, 2010 9:15 AM EST


HAPPY BIRTHDAY DANIEL!

WOW! 6 years old!

Happy 6th Birthday Daniel!


Thursday, December 31, 2009 9:51 AM EST

Happy Holidays!

Happy Holidays!


Friday, October 2, 2009 9:00 AM EST

2009 Parkway Run

2009 Parkway Run

2009 Parkway Run/Walk for Children’s Cancer Research

FODC Logo

Parkway Run/Walk sets new records!

The 2009 Parkway Run and Family Fun Walk for Children’s Cancer Research set new records all around this year. We had more registrants (7229 total), more individual donations (over $200,000), more runners (2564), more teams (over 100) and more fun! At last count, we raised over $550,000 for cancer research and survivorship programs at The Cancer Center at The Children’s Hospital of Philadelphia. This is a new record too.

To have such success takes the effort of a slew of people. It would take pages to thank them all so here are some highlights:

· The employees at the Four Seasons Hotel Philadelphia who volunteer their time all year long to make this day gratifying for the patient families and their friends who attend.

· The CHOP Development Office whose efforts range from searching out our Corporate Sponsors to helping Team Captains set up their teams and everything in between.

· Our Corporate Sponsors for maintaining their strong commitment to The Parkway Run in a difficult year.

· Our Team Captains who spend endless hours building their teams and coordinating fundraising efforts in their team’s name.

· All of our registrants. You will never know how much your being there on Race Day means to the kids and their families. Your presence provides a lasting memory of support that encourages the families for a long time to come.

· Our fundraisers. You chose to take on our “Double Your Impact” challenge to stimulate donations. By Race Day, individual donations were up 60 percent over 2008.

· First and foremost, we thank the kids fighting cancer. They are our inspiration. They endure endless hours of tests, doctoring and just feeling crummy. They miss school and miss their friends. They are strong, tough, and resilient. Some do not survive the fight yet in their own way made things better for other kids.

A reminder - people can make donations all yearlong at http://www.parkwayrun.com. You can also find Race Results there too.

We will be tweeting stories of interest all year around on Twitter. Follow us on Twitter at http://www.twitter.com/parkwayrun09

Looking forward to seeing you at The Parkway Run next year - mark September 26, 2010 on your calendar now.


Until next year.

"Together we can make a difference for kids with cancer."

Photos from the 2009 Parkway Run/Walk:



Photos of Daniel at the Parkway Run/Walk:



Photos of the Parkway Run/Walk from the past 4 years:



Wednesday, August 5, 2009 11:50 AM CDT

Wow! It’s been a while since I have updated. In this case – no news is good news! Daniel is doing great! Summer is going so quickly and thankfully we are all healthy.

Daniel has his first appointment with Dr. Ginsberg from the Survivorship Clinic at CHOP on August 19th. It is in the same clinic where Daniel was treated and I am wondering how he will handle the visit. He was a phenomenal patient going through his treatment, but now that he is older, he exhibits a lot more fear about what is going to happen to him. If a “pinch” is involved he will cry and be upset for about 20-30 minutes even after it is all over. This visit does include labs-complete blood count (CBC), chemistry panel, and Hep C screen-so he will need a needle in his arm. He will get a complete physical and we will be introduced to a psychologist who we can talk with about any school concerns. He does not need a heart test until 2013 nor a hearing test, which he needs only every couple of years. We are expecting a good checkup.

Daniel will be entering Kindergarten next month and will be hopping on a bus with his big brother, Jason. I cannot put into words how grateful I am about that. We know we are lucky and feel totally blessed.

On June 7, 2009, my family attended the first-ever Beyond Cancer event at CHOP.
It was "A celebration of the good things in life" and families with children who are surviving cancer were invited. It was very emotional and inspirational. There was a room full of these children and their families. One speaker, who started the cancer research program at CHOP back in the 80's, said that they couldn't have had an event like this back then because there were no survivors. But now, because of the money raised for research, this event is possible. I look forward to attending more of these events in the future and seeing how the number of children in that room grows.

On June 13, 2009, we attended the Original Alex's Lemonade Stand event. It was fantastic! We had so much fun and they raised $100,000! That's in addition to the $891.740 raised by the Tele-thon. Amazing!

And then this article came out on July 29, 2009 on the front page of the Philadelphia Inquirer….

CHOP researchers get a lead on neuroblastoma

These events were the motivating forces that got me ready to gather another team for the 2009 Parkway Run/Walk for Children’s Cancer Research. In just 1 week, I was able to get 6 sponsors who have kindly contributed so that we can have our team t-shirts professionally made this year to proudly wear as we run or walk down the Parkway.

So...the Parkway Run is Sunday, September 27th and there will be another Friends of Daniel Cooper team this year!

See Details below:

AND CHECK OUT THIS AWESOME VIDEO FROM THE 2005 PARKWAY RUN/WALK FEATURING DANIEL!







Please join our Friends of Daniel Cooper Team! All are welcome!

UPDATE: We have earned our Team Tent with 108 Registered Team Members! Thank You!

Awesome job, Team Members! Registrations are running 7igher than last year and the on-line donations are exceeding last year’s by more than $13,000.00. You are the backbone of our efforts and we thank you.

Here’s some things you should know heading into the run:

· Because we earned a Team Tent by having 100 members or more, all of our team’s race materials will be in the tent when you arrive. This includes t-shirts for all and Racing Bibs and Timing chips for runners. Our team will not need to stand in any lines on Race Day. Everything our team members need will be in our tent as long as they registered by September 20th.

· By Wednesday of race week, you will be able to see your Team Tent location by going to http://parkwayrun.com/ and clicking on “Race Day Layout”.

By the looks of it, The 2009 Parkway Run and Family Fun Walk is going to break all records this year, thanks to you.

See you on the Parkway on Sunday, September 27th. It's going to be an amazing day!


2009 Parkway Run

2009 Parkway Run/Walk for Children’s Cancer Research

www.parkwayrun.com
Four Seasons Hotel, One Logan Square 18th St. and Benjamin Franklin Parkway, Philadelphia, PA
9/27/2009
Registration Opens @ 7:00 am
Race Starts @ 8:30 am

FODC Logo
Join the Friends of Daniel Cooper Team!

Sunday, September 27, 2009

**Team Members Need to be Registered by Sept. 13th**

5K Run and Family Fun Walk

Join the fun at this annual event that raises funds to help cure cancer in children through research at The Cancer Center at The Children’s Hospital of Philadelphia, the nation’s premier pediatric oncology program.

Our team, Friends of Daniel Cooper, was created in honor of my son, Daniel, who was diagnosed with Neuroblastoma. This event has provided The Children’s Hospital with over $1.8 million to research new cures and create a better life for the increasing number of survivors. Daniel is one of those survivors, so we know it is working.

We would be grateful and honored to have you sign up as members of our team. We are always looking to add members to our team to support this important cause. The goal is to have 8000 participants this year. Our team has had close to 100 members the last 4 years and we can do it again with your help!

Presented by the Four Seasons Hotel, the 5K Run/2K Family Fun Walk follows the scenic Ben Franklin Parkway and West River Drive, includes a lavish post-race buffet you won't want to miss, and a free event t-shirt and team t-shirt for everyone that registers! Teams with 100 or more participants by Sept. 20th get their own canopy tent to meet at.

Anybody wanting to join our team can either sign up under our team name (Friends of Daniel Cooper) at www.parkwayrun.com or forward their email address to barbe2700@yahoo.com to be added to our Evite invitation. Team members need to be registered by Sept. 13th.

Hope you can join The Friends of Daniel Cooper Team!

"Together we can make a difference for kids with cancer."

Click here to REGISTER (free) or DONATE by Joining Barbara's Team anyway - you make a tax deductible contribution, we gain a much needed team member, and each registered team member gets both the Parkway t-shirt and the Team t-shirt that I will deliver to you after the event.

**Online Registration closes 9/20 @ midnight**

VIEW TEAM PAGE


REGISTRATION FEES: Register early (by 9/13): Adults $25.00, Kids $12.00. Register after 9/13: Adults $30.00, Kids $14.00. Register after 9/20: Adults $35.00, Kids $15.00

Parking is available at 18th & Cherry Streets. The event will be held rain or shine.

Photos of the Parkway Run/Walk from the past 4 years:



THANK YOU to our SPONSORS!
MOMS Logo
TD Bank Logo

Iacobucci Logo

Fore Site Logo

Colonial Village

Cutting Edge Cuts


Get a playlist! Standalone player Get Ringtones


Watch the video, Our Littlest Soldiers, which Daniel has a big part in narrating! The video below is Daniel reciting the entire poem. Great job Daniel!





Tuesday, February 10, 2009 10:00 AM EST

Happy 5th Birthday Daniel!

Daniel 5th Birthday


Our April 2009 Trip to Disney World:
Disney Family Photo


Saturday, December 20, 2008 3:00 PM EST

Animations - merry christmas 5

Christmas 2008



Daniel’s Christmas Morning Happy Dance taken with his new Digital Camera


Tuesday, October 28, 2008 2:28 PM CDT

Halloween Photo Card

2008 Parkway Photos slide show:



Daniel Slide Show:



A very big THANK YOU to all who supported our Friends of Daniel Cooper Team this year. It was another huge success, with 102 team members and $351.00 raised on our online fundraising page. Last I checked, the Parkway Run website had $145,075 in total online donations. Not sure if they reached their goal of 6000 participants, however there was a huge crowd that showed up despite the rain.

This was the 4th year that the Friends of Daniel Cooper Team gathered in Philadelphia for the annual Parkway Run/Walk for Children’s Cancer Research. We continue to be honored and amazed with the number of participants who take time to come out and walk or run with us in honor of Daniel. We were also pleased that so many of you choose to donate online through our fundraising page. Each event has been a great success. And Daniel is proof! This year we are marking Daniel’s 3rd year off treatment, no evidence of disease (NED), milestone. He is doing so well that he has graduated to yearly check-ups and is ready to join the Cancer Survivorship program!

We can never be 100 percent sure his cancer will never come back, but each year that passes, brings more hope. We also never forget all the children who are still battling this disease and who are still in urgent need of research funding so that a cure can be found. We pray that someday every family will be able to celebrate these milestones. For now, all we can do is offer hope by helping this cause.

Daniel would not be where he is today without continued funds raised for cancer research and for the efforts of Children’s Hospital of Philadelphia. Hope Lives Here.
Thank you CHOP! And thank you to everybody for supporting this cause that means so much to us.

Love, The Coopers


Children's National Researchers Develop Novel Anti-Tumor Vaccine

October 2, 2008

New mouse model uncovers more effective delivery of anti-tumor vaccines for neuroblastoma and melanoma

WASHINGTON, DC—A novel anti-tumor vaccine for neuroblastoma and melanoma developed by scientists and clinicians at Children’s National Medical Center in collaboration with investigators from the University of Iowa is showing significant impact on tumor growth in mice , according to new research published in the October edition of the research journal Cancer Immunology, Immunotherapy. The vaccine uses the tumor’s own protein to induce an immune system response, allowing for a personalized approach to treatment.

The vaccine and delivery system, developed in the laboratory of Children’s National Chief of General and Thoracic Surgery Anthony Sandler, MD, involves the creation of synthetic microparticles known as “immune stimulatory antigen loaded particles” (ISAPs), that consist of tumor antigens (proteins) from the specific tumor to be targeted, as well as immune stimulatory agents. The ISAPs are detected and engulfed by specialized immune cells and sensed to be immune-stimulating “foreign bodies.”

The study shows that ISAPs are effective at blocking the growth of tumors in mice by inducing activation of immune cells that then stimulate the immune system to specifically target the tumor whose antigens match those that are loaded in the particles – known as tumor specific immunity.

The research team also discovered, however, that the impact of ISAPs on tumor growth was partially mitigated by an increased presence of regulatory t-cells (T-reg) when ISAPs are introduced into the body. The researchers believe that T-regs play a key role in how the vaccine impacts tumor growth by suppressing the development of the specific immune cells needed to combat the tumor. By adding a T-reg suppressor such as cyclosphosphamide or anti-CD25 antibody, the scientists were able to have a greater impact on preventing tumor growth using the ISAP approach.

“For tumors like neuroblastoma, reduction to minimal residual disease with standard therapies like chemotherapy and/or surgical resection and subsequent treatment with this vaccine could quite possibly cure the patient of the disease in the not too distant future,” said Dr. Sandler, lead author of the study. “Creation of ISAPs allows us to target our treatments to the specific tumor of interest, a capability that will more effectively combat a wide range of these tumors in a personalized fashion.”

From Washington - According to research in the journal Cancer Immunology, Immunotherapy, a new anti-tumor vaccine for neuroblastoma and melanoma is showing promise. The new vaccine uses a tumor’s own protein to cause an immune system response and has been shown to stop the growth of tumors in mice. The researchers believe that, in the near future, standard treatment plus the use of this vaccine may cure patients of tumors like neuroblastoma and melanoma.


Monday, August 4, 2008 9:00 AM EST



New Photos!

Gene That Causes Childhood Cancer Neuroblastoma Is Found! - SEE ARTICLE AT BOTTOM OF PAGE


Join the Friends of Daniel Cooper Team!

It’s that time of year again….the 2008 Parkway Run/Walk for Children’s Cancer Research will be here before you know it. This will be our 4th year participating in this event to help raise money for The Cancer Center at The Children’s Hospital of Philadelphia. We are anticipating another great turnout for our Friends of Daniel Cooper Team this year and hope you will be able to join us on the Parkway the morning of September 28th.

Don’t forget to register by September 17th in order to be counted as a team member to get our own tent to meet at. We need 75 people registered by that date. We have reached that goal all 3 years. Let’s do it again!

Not an early riser? Not to worry, you can still participate by helping us reach our goal of raising $1000 by donating on our fundraising page. Feel free to pass this Evite along to any of your friends or family who might also like to participate or donate. Thank you for making a difference! We hope to see you there!

Parkway Run Video featuring Daniel!




Thanks to our wonderful Sponsors!
Photobucket Photobucket

Photos of Previous Years



Friends of Daniel Cooper 2007

The Parkway Run is held annually to raise much needed funds for helping to cure cancer in children. The Parkway Run has provided The Children's Hospital with over $1.8 million to use for researching new cures and for creating a better life for the increasing number of survivors.

Hope you can join us on Sunday, September 28th at 8:30 AM at the Four Seasons Hotel, Philadelphia, One Logan Square 18th St. and Benjamin Franklin Parkway, Philadelphia, PA

Put your walking or running shoes on and join the fun! The goal is to have 6000 participants this year, and we can do it with your help.

Presented by the Four Seasons Philadelphia, the 5K Run/2K Family Fun Walk follows the scenic Ben Franklin Parkway and West River Drive, includes a lavish post-race buffet you won't want to miss, and a free event t-shirt for everyone that registers! I provide each registered team member with a team t-shirt as well. Teams with 75 or more participants by Sept. 17th get their own canopy tent to meet at. Teams with more than 125 will enjoy a Continental Breakfast in their tent before the run.

REGISTRATION FEES: Register early (by 9/14): Adults $25.00, Kids $12.00. Register 9/15 or later: Adults $35.00, Kids $15.00

ONLINE REGISTR. CLOSES: 9/26 @ 9:00 PM Pacific Time

REGISTER ONLINE AT:
Active.com


*Choose "Team Member Registration"/"Friends of Daniel Cooper" online or fill in our team name on the mail-in form.

MAIL IN REGISTRATION: Print a Registration Form



ONLINE DONATIONS: DONATE NOW!


HELP US GET THE WORD OUT!
INVITE YOUR FRIENDS TO DONATE


For more details:
www.parkwayrun.com


View or Reply to the Evite Invitation


2008 Family Fun Walk and Race Details

When: Sunday, September 28, 2008 - Rain or shine

Where: Four Seasons Hotel, One Logan Square 18th St. and Benjamin Franklin Parkway Philadelphia, PA 19103

Time: 7:00 am - Registration Opens
8:30 am - 5K Run begins followed by the Family Fun Walk
9:45 am - Award Ceremony and Raffle Drawing

Course: Up the middle of the Benjamin Franklin Parkway to the Art Museum and back

Parking: The closest parking is located on 18th and Cherry Street, one block from the race start.

Early Race Packet Pick-up: Pick up your Race Packet in advance and sleep in a bit on Race Day. Early pick-up is available for anyone who has registered by 9/19. You can pick up your Race Packet at the Four Seasons Hotel on Thursday, 9/25 and Friday, 9/26 from Noon - 6:00pm and on Saturday, 9/27 from Noon - 2:00pm

Course: U.S.A.T.F. certified 5K down the Benjamin Franklin Parkway and along West River Drive. Water stations at the one and two mile mark

Timing: Chip timing will be provided

Results: Results will be posted on www.parkwayrun.com

Great Prizes: The Parkway Run is famous for the prizes offered to winners. The Top Male and Female Runner will each receive a trip to another Four Seasons Hotel complete with transportation. We also offer male and female prizes in 11 different age categories with 1st, 2nd and 3rd place prizes being awarded in most categories. Prizes include gift certificates for dining at many of Philadelphia’s finest restaurants including Davio’s, Estia, Fork, The Golden Pheasant, and Siam Cuisine. Others will win gift certificates for stays at some of Philadelphia’s finest hotels including Hyatt Penn’s Landing, Inn at Penn, Loews, Marriott, Ritz Carlton, Westin and of course, The Four Seasons.

Gene That Causes Childhood Cancer Neuroblastoma Is Found

Newswise (August 22, 2008)— Scientists have discovered gene mutations that are the main cause of the inherited version of the childhood cancer neuroblastoma. In addition, the researchers found that the same mutations play a significant role in high-risk forms of non-inherited neuroblastoma, the more common form of the disease.

“This discovery enables us to offer the first genetic tests to families affected by the inherited form of this disease,” said pediatric oncologist Yael P. Mossé, M.D., of The Children’s Hospital of Philadelphia, the first author of the study, published online Aug. 24 in the journal Nature. “Furthermore, because there already are drugs in development that target the same gene in adult cancers, we can soon begin testing those drugs in children with neuroblastoma.”

Neuroblastoma is the most common solid cancer of early childhood. It accounts for 7 percent of all childhood cancers, but due to its often aggressive nature, causes 15 percent of all childhood cancer deaths. It arises in the developing nerves of a child, often appearing as a tumor in the chest or abdomen.

Because only about 600 new cases of all forms of neuroblastoma occur annually in the U.S., familial (inherited) neuroblastoma is a very rare subset of a relatively uncommon disease. Scientists at Children’s Hospital have studied familial neuroblastoma for the past 15 years, and the current study drew on family data collected from throughout the world.

John M. Maris, M.D., senior author of the current study and director of the Center for Childhood Cancer Research at Children’s Hospital, leads a laboratory with the world’s largest collection of neuroblastoma tissue samples, gathered through the multicenter Children’s Oncology Group in the U.S. and through multiple international collaborations. Maris said, “This is a very important discovery, as it not only helps us understand the genetic roots of this terrible disease, but also has led to dramatically new ideas for curative therapy.”

The study team used high-speed, automated analytic equipment at the Center for Applied Genomics at Children’s Hospital. By employing genome-wide scans to analyze DNA from the 10 most informative families with a history of neuroblastoma, Mossé and her colleagues first discovered that a region of chromosome 2 was associated with the disease. Further sequencing of that region identified mutations in the anaplastic lymphoma kinase (ALK) gene in eight families with familial neuroblastoma.

“This finding means that it is possible to offer simple, non-invasive screening for patients with a family history of neuroblastoma,” said Mossé. She explained that ultrasound or a urine test could assist surveillance of children with an ALK mutation, so that if neuroblastoma appears, it can be detected at an early stage. “As we increase our knowledge of ALK mutations, we will also offer specialized diagnostic testing for all newly diagnosed patients with neuroblastoma, to eventually allow oncologists to better customize treatment to a child’s genetic profile.”

After detecting ALK mutations in familial neuroblastoma, the researchers then focused on the more common sporadic (non-familial) cases of neuroblastoma, and found that ALK mutations occurred in 12 percent of 194 tumor samples from the aggressive, high-risk form of the disease.

Although the normal role of the ALK gene is not well understood, other researchers had previously found that abnormalities in ALK raise a patient’s risk for lymphoma and lung cancer. “We were the first to identify mutations in ALK,” said Mossé, adding that in lymphoma and lung cancer, ALK acts through translocation, a different mechanism that involves an exchange of DNA between chromosomes to produce a new cancer-causing fusion gene.

In all three cancers, ALK acts as an oncogene, or cancer-causing gene; in fact, the current study reports the first example of a childhood cancer caused by mutations in an oncogene. Since the mutations discovered by Mossé trigger an “on” signal for neuroblastoma cells, the abnormality is an outstanding target for therapies that inhibit the ALK protein’s activity.

Several pharmaceutical companies are currently developing ALK inhibitors in the laboratory, and one ALK inhibitor is already in early-phase adult clinical trials against lung cancer and lymphoma. Now Mossé and her colleagues at Children’s Hospital are planning pediatric clinical trials of ALK inhibitors in children with high-risk neuroblastoma. “It’s an advantage to be able to start with agents that have already been shown to be safe in adults,” Mossé added.

Neuroblastoma has long been a puzzling disease, partly because of its broad range in outcomes. Some types of the disease strike infants but spontaneously disappear with minimal treatment, while other subtypes in older children may be relentlessly aggressive. Earlier this year, Maris’s lab reported that common DNA variations in a region of chromosome 6 raise a child’s risk of developing sporadic neuroblastoma. “Together with this current study, we are defining the genetic events that underlie this childhood cancer,” said Maris. “Better understanding of these biological pathways will guide our efforts to develop more effective treatments.”

The National Institutes of Health supported the study, along with grants from the Alex’s Lemonade Stand Foundation, the American Society of Clinical Oncology, the Andrew’s Army Foundation, the Italian Neuroblastoma Foundation, Scripps Genomic Medicine, the Scripps Dickinson Scholarship, the Giulio D’Angio Endowed Chair, the Foerderer-Murray Fund and the Carly Hillman Fund. The Center for Applied Genomics at The Children’s Hospital of Philadelphia also provided support, as did the Abramson Family Cancer Research Institute of the University of Pennsylvania School of Medicine. The study could not have been done, say the authors, without the support and resources of the Children’s Oncology Group.

Among Mossé’s and Maris’s co-authors were Garrett M. Brodeur, M.D., of the Division of Oncology and Center for Childhood Cancer Research at Children’s Hospital, as well as Hakon Hakonarson, M.D., Ph.D., director of the Center for Applied Genomics at Children’s Hospital. The above co-authors are also faculty members of the University of Pennsylvania School of Medicine. Other collaborators were from the National Institute for Cancer Research, Genoa, Italy; Ghent University Hospital, Ghent, Belgium; Scripps Research Institute, La Jolla, Calif.; and the University of Rome “La Sapienza.”
____________________________________________
Gene Identified for Deadly Childhood Cancer
By Jennifer Couzin
ScienceNOW Daily News
25 August 2008

Fifteen years of genetic sleuthing has finally paid off: Researchers have nailed the gene that appears to cause an inherited form of neuroblastoma, a cancer of the nervous system that predominantly strikes children. Scientists are optimistic that the findings will allow them to develop disease screening for some families, as well as lead to potential new therapies.

About 15 years ago, a family riddled with neuroblastoma arrived at the Children's Hospital of Philadelphia (CHOP); even a grandmother had developed the disease. Pediatric oncologist John Maris realized that he had a rare clue on his hands. Just 700 children in North America are diagnosed with neuroblastoma, and only 1f those have the familial form, passed down through other family members. Maris asked for permission to draw blood for DNA testing and was invited to a barbecue with the family; he arrived armed with needles and collected blood samples at the kitchen table. Over time, Maris and his colleague Yael Mossé reached out to hospital centers in Belgium, Italy, and elsewhere searching for more families like this one. Eventually, they found 20--a total of 49 people with neuroblastoma and 127 without.

Searching for shared DNA, the researchers quickly homed in on a region of chromosome 2. That led them to mutations in a gene called ALK, which, when activated, can promote cancer. The defective form of ALK, a dominant allele, appeared in all the affected individuals, as well as in healthy parents, who had passed it down, the team reports online this week in Nature. They also found ALK in some siblings who were healthy, making them wonder whether these youngsters were at high risk of neuroblastoma. ALK has also been implicated in lung cancer and lymphomas, although the molecular defects there are different.

The families studied here, who carry the ALK mutation, make up a tiny minority of those affected by neuroblastoma, however. Most children are the only ones in their family with the disease, developing it spontaneously for no apparent reason. Could the discovery of ALK in familial neuroblastoma help children who didn't inherit the gene?

To find out, the researchers studied tumor samples from children with neuroblastoma who hadn't inherited the disease. They found that 12ad ALK mutations in their tumors. What's more, a handful of children without a family history of the mutation carried ALK mutations in every cell in their body, meaning that they developed a spontaneous mutation in utero before going on to develop neuroblastoma. Together, these pieces suggested that ALK had a role to play in spontaneous neuroblastoma as well as the familial form, even if oncologists are still trying to sort out exactly what it might be.

Meanwhile, CHOP is gearing up to offer ALK testing to all newly diagnosed neuroblastoma patients. This will help physicians determine how common ALK mutations are in neuroblastoma tumors and help them identify children who may have developed mutations before they were born. For those who are ALK carriers--harboring the gene in their normal cells, as well as cancerous ones--CHOP will offer testing to healthy siblings, under the rationale that if these children also test positive, they can be given regular, noninvasive screening to catch the disease in its early stages. Mossé believes that this is critical, because by her estimate, the chance of developing neuroblastoma if one carries an ALK mutation is at least 50Most children with neuroblastoma are diagnosed once the disease has already spread and have a survival rate of about 30BR>
"We're fortunate to not only have found this gene but to be able to do something about it," says Mossé. She's particularly grateful that the culprit is a gene that is activated to cause cancer--as opposed to one that's silenced and then triggers the disease--because drugs can suppress it. One ALK inhibitor is in a phase I trial for lung cancer, and the company, Pfizer, is willing to test it in neuroblastoma. Mossé expects a trial to open in 6 months.

"It's clear that these mutations are real," says pediatric oncologist Susan Cohn of the University of Chicago Comer Children's Hospital. "It's incredibly exciting." One thing that's unknown, she says, is whether ALK-inhibiting drugs will work on all types of neuroblastoma tumors, because not all tumors carry them. That's something only clinical trials will tell, she says.



Wednesday, July 2, 2008 6:00 PM EST

Hero Family

Daniel was invited to be part of the Hero Families for the 5th Annual National Lemonade Days. He got to stand up on stage and be introduced. (That’s him – the little guy on the end in the orange t-shirt* and blue baseball cap) It was a really hot day and a huge success. Though they do not yet have a final number, but they anticipate reaching their goal of raising over $1 million in one weekend, propelling their total amount raised for childhood cancer to $20 million!

Daniel’s t-shirt reads on the front: CHILDREN - God’s little miracles. And on the back – Things to do: 1) Beat cancer 2) Grow hair 3) Live my dreams!

And that is what he is doing! Daniel has now graduated from being a cancer patient of Dr. Maris at the Children’s Hospital of Philadelphia. He will still be seen there, but he will see Dr. Ginsberg who is the head of the cancer survivorship program, and that won’t be for a year. They are no longer looking for the cancer, and instead will concentrate on late effects of the treatment. And since Daniel only had 4 cycles of low dose chemotherapy, we do not expect it to affect his fertility, heart or hearing. I asked about his thyroid from having so much radiation from scans to his neck and Dr. Maris did not think that would be a problem for Daniel but they do bloodwork for that to keep an eye on it.

Daniel is 3 years off of treatment this month and doing great. Dr. Maris said the word “cured” and as usual, added that there are exceptions, but out of 491 patients who had the same protocol as Daniel and were treated for intermediate risk Neuroblastoma, they have not seen one kid relapse past the 3 year mark. And because of the research being done, a child who is diagnosed with Daniel’s stage and type of cancer can now be successfully treated with only 2 cycles of low dose chemotherapy, thus further reducing any late effects on the children.

Thank you to everybody who prayed for Daniel, stopped by to check up on him, and made donations to help this cause. Your support is a tremendous help.

Enjoy your summer! And we hope to see you on Sunday, September 28th at the Parkway Run/Walk for Children’s Cancer Research!

Check out this awesome video from the 2005 Parkway Run/Walk featuring Daniel when he was going through treatment for neuroblastoma:

Video

Another way to help out……………

NB Blogathon: Blogging for Kids! to Raise Money for Neuroblastoma Research

This is the 3rd year for this event. The first 2 years were to raise money for the Children’s Neuroblastoma Cancer Foundation(CNCF). This year it is to raise money to help the Band of Parents, a non-profit organization formed by parents of children diagnosed with neuroblastoma, whose mission is to further support and accelerate research for promising new treatments for neuroblastoma.

Daniel was honored last year and will again be honored during this year’s blogathon, along with 72 other children listed below.

The blogathon is NEXT SAT July 26 from 9 am EST to July 27 9am EST.

Nikki will be up for 24 hours, so please keep her company by checking in, leaving comments or IMing her through aim (pookielocksgirl).

The location of her blog for the blogathon is http://www.bloggingforkids.shebecameabutterfly.net

DONATIONS will be accepted today through July 31, 2008. You can choose to donate in honor of an NB child. Just leave a comment in the notes section when you are donating!

Donate at Change.org


BANDofPARENTS bound by hope

Too Long a Journey to Walk Alone....

Everyone has a defining moment in life. A moment when you know, without
any question, just what life is about. For the Band of Parents that defining
moment was hearing the words that our children have a rare and deadly
form of cancer. Our lives now are about finding a cure for our precious
children who are battling neuroblastoma. Lack of money bars the way, and
time is running out for many of these kids. Today hope lies with private
institutions, generous donors, and dedicated researchers, who have made it
their mission to discover safer, more effective treatments and a cure. We as
the parents of children diagnosed with this relentless cancer are reaching
out in hopes that you will help us. Won’t you please support the research so
urgently needed to give all the kids fighting neuroblastoma today, and those
who will be so unfairly chosen to fight tomorrow, the hope all children
deserve?

What would you do if you were
told your child had a cancer for
which there was no known cure?

Most parents cannot imagine such unspeakable
despair. But we have heard those words, and are
trying desperately to save our children. We want a
cure for every child who is battling neuroblastoma, a
lethal childhood cancer of the sympathetic nervous
system that affects approximately 650 children in
the U.S. every year. Only about 30 percent of those
diagnosed survive it.


BOUND BY HOPE
Against this bleak scenario, a group of ordinary parents
bound by extraordinary circumstances founded the Band of Parents.
Our mission is to raise money to further support and accelerate the
research of the talented and dedicated team of doctors and
scientists at Memorial Sloan-Kettering Cancer Center.

Here is a listing of the 72 children who are featured in the blogathon this year! Please stop by their website and leave them a message in their guestbook!


Means Angel

*Means new to the Blogathon this year


Abbie Shaw 3/1/01 - 9/11/06

Aleah Cornelius

*Alaina Thompson

*Alina Galletta

Anna O’Connor

Anna Banana

Annabelle Obersteadt

*Ashlyn Kerr

Aurora Ismaili

Benjamin Brewer

*Benjamin Mason

Brandon Loose

Breanna Bartelli 9/9/91 - 3/5/06

Bunny Spiegelman

*Carolyn Coveney

Carter Finger 9/2/99 to 8/18/07

Chandler Booth

*Charli Ann Preister

*Charlie Gess

Christi Thomas 5/12/97 - 9/19/06

Codey St. John

Connor Gerber

*Cooper Cates

Cortnie Bennett 8/12/91 - 3/18/95

Daniel Cooper

*Destiny Whitethorn

Dustin Cobb - 7/17/08

Dylan Hartung

Eden Adams

*Eli Horn

Erik Ludwinski

Erin Buenger

Ethan Smith

*Gabriella Gallegos

Georgia Whyte

Ila Jean

Imrie Sherrick

*Izak Poore

*Jacob Mozer

*Jordyn Olsen

Josh Powell

Kaitlyn August

*Katie Krize

*Katie Pilkington

Keira Bowman

*Kieran Hathaway Carepages: Kieranclyde

*Kolton Appleby

*Kylie Barry

Kylie Houtchings 3/23/96 -8/8/06

*Laura VanDerBos Carepages: LauraVDB

*Maya Hathaway

Megan Hierons

Melanie Martinez Carepages: melaniem

Micah Barker

Michael 6/8/94 - 10/21/05

Naomi Veldon

*Payton Bogert

*Peter Eigner

Rachel Crowthers

Razak

Ruth Mersburgh

*Sami Gray

Samantha Hughes 3/18/03 - 4/15/08

Sarah Smith

Sean Hanson

Sydney Dudley

Sydney Sims

Tamara

Teresa Montgomery

Tilly Dumaine

Vinny Speziale

Zachary Finestone






Friday, May 9, 2008 10:00 AM EST

Hi - Thanks for checking in! We are doing well. We are very excited for the start of a wonderful summer full of fun!

Jason is doing very well in Kindergarten. I think he will be sad and miss it when it ends. I know I will. He starts first grade next year. Wow! Besides a recent painful ear infection and ruptured eardrum, Jason is doing great. He has really become Daniel’s big brother – looking out for him and playing so nicely with him. I just love to see it!

Daniel is doing just great! He has finally become just another happy kid! People always ask how he is doing and I am grateful that they do. I am overjoyed to answer that he is doing great!

Daniel is scheduled to see the neuro-ophthamalogist at CHOP this month for a check up on his Horner’s Syndrome. I don’t even know what they are looking at because as far as I know, Horner’s Syndrome has no effect on his vision. You can barely notice that his right pupil is smaller than the left. We credit this doctor, Dr. Liu, as the one who enabled us to find Daniel’s cancer early. He found the Horner’s and told us to come back and get a repeat MRI in 6 months, which is how we found the tumor in his neck. When we returned 6 months later, even he wasn’t aware that he was the one who decided to keep an eye on it. After Daniel presented with the Horner’s they began to study and even go back and recheck other kids who had Horner’s to determine if any of them could actually have a cancerous tumor that was causing the Horner’s. Daniel was one of the kids in the study. I am sure that Dr. Liu’s work may have saved more lives.
UPDATE: And he has! Dr. Liu told me that all of the patients in his study with neuroblastoma who presented with Horner’s Syndrome are alive and well today. He was surprised to see how much Daniel’s Horner’s has improved because he always told patients that it would not improve. He asked to keep studying Daniel and to see him again in 2 years. Oh, and Daniel is famous….he got his picture (well, his eyes), in a pediatric neuro-ophthamology brochure:
Brochure Eyes

Daniel is scheduled to have his last 6 month checkup with Dr. Maris on July 2nd. We will spend the whole morning there getting bloodwork, urine test, EKG and Echo for heart, and hearing tests. We will see Dr. Maris and expect to hear him say that we do not have to return for 1 year. We will, instead, be introducing Daniel to the Cancer Survivorship Program at CHOP. Hooray!

Children's Hospital of Philadelphia
Cancer Survivorship Program

Fifty years ago, most children and adolescents survived only a short time after the diagnosis of cancer. Today, nearly 80 percent of children and adolescents with cancer are cured, thanks to new research and treatment. In the 1970s, when children with cancer began to survive, Anna Meadows, MD, began to question what their quality of life would look like after cancer treatment. She and her colleagues began researching late effects, the long-term side effects of cancer treatment.

In 1983, under the direction of Dr. Meadows, The Children’s Hospital of Philadelphia started the Cancer Survivorship Program, the first of its kind designed to care for and track long-term survivors of childhood cancers.

The Cancer Survivorship Program team is a leader in identifying, treating and preventing the late effects of cancer treatment. Children who survive cancer may experience problems with their heart, lungs and other vital organs; they may experience growth problems, cognitive delay or infertility. Because of their pioneering role in studying and addressing the special needs of survivors of childhood cancer, team members have been instrumental in changing medical practice and modifying cancer treatments to reduce long-term adverse effects. The Cancer Survivorship Program at Children’s Hospital of works with survivors to maximize their health and well-being. The team members — doctors, nurses and psychologists — provide expert care to survivors of childhood and adolescent cancer who are experiencing or may be at risk for late effects of cancer treatment.

Our program provides follow-up care to hundreds of long-term cancer survivors each year. Since the cure rate for newly diagnosed patients is so high, we expect this program will continue to expand. Our newest offering is a Multidisciplinary Cancer Survivorship Clinic that enables survivors to see physicians and nurses from Hospital departments such as cardiology, endocrinology, pulmonary, nutrition and psychology all on the same day.

The Cancer Survivorship Program seeks to:
· improve the health and well-being of childhood cancer survivors by promoting continuity of care
· provide referrals to specialists as needed
· offer psychological counseling
· transition patients to adult care when ready
· educate patients, parents and healthcare professionals about the long-term effects of cancer treatment



SOME GREAT NEWS!

Researchers Find Gene Location That Gives Rise to Neuroblastoma, an Aggressive Childhood Cancer

--First Finding of Origin of a Puzzling Pediatric Tumor—

PHILADELPHIA, May 7 /PRNewswire-USNewswire/ -- Using advanced gene-hunting technology, an international team of researchers has for the first time identified a chromosome region that is the source of genetic events that give rise to neuroblastoma, an often fatal childhood cancer.

The investigators found that the presence of common DNA variations in a region of chromosome 6 raises the risk that a child will develop a particularly aggressive form of neuroblastoma, a cancer of the peripheral nervous system that usually appears as a solid tumor in the chest or abdomen. Neuroblastoma accounts for 7 percent of all childhood cancers, but due to its aggressive nature, causes 15 percent of all childhood cancer
deaths.

"Until now we had very few clues as to what causes neuroblastoma," said pediatric oncologist John M. Maris, M.D., who led the study at The Children's Hospital of Philadelphia, where he is the director of the Center for Childhood Cancer Research. "Although there is much work to be done," added Maris, "understanding this cancer's origin provides a starting point for developing novel treatments." The study team reported its findings in today's Online First version of the New England Journal of Medicine.

Neuroblastoma is the most common solid cancer of early childhood and has long been known to include subtypes that behave very differently. Some cases strike infants but spontaneously disappear with minimal treatment, while other cases in older children may be relentlessly aggressive from the start.

Researchers at Children's Hospital and colleagues in the multicenter Children's Oncology Group have for decades analyzed tumors for characteristics such as amplified levels of a cancer-causing gene and deletions of chromosome material. They used those tumor peculiarities to classify neuroblastoma into risk levels that guide oncologists toward the
most appropriate treatments. "Properly defining risk level helps us to avoid the twin pitfalls of undertreating or overtreating any given child with neuroblastoma," added Maris.

However, little was known about genetic events that predispose a child to developing a neuroblastoma tumor. In roughly half of neuroblastoma cases, the cancer is not discovered until it has spread widely in a patient's body, so understanding how a tumor originates may allow oncologists to design earlier and more successful interventions.

In the current study, Maris's team collaborated with Hakon Hakonarson, M.D., Ph.D., director of Children's Hospital's Center for Applied Genomics, to analyze blood samples from approximately 1,000 neuroblastoma patients, as well as samples from some 2,000 healthy children recruited through the Children's Hospital network. A DNA chip analysis performed at the genome center identified three single nucleotide polymorphisms (SNPs) -- changes
in single bases on the DNA helix. Out of over 550,000 SNPs studied, those SNPs were much more common in patients with neuroblastoma, compared to the controls. The three SNPs occurred together on a band of chromosome 6 designated 6p22.

The researchers repeated the analysis in blood samples from additional groups of patients and control subjects from the U.S. and the U.K., and confirmed their finding that variants in the 6p22 region were implicated in neuroblastoma. There are two genes in the 6p22 region, but their functions are largely unknown.

"We are doing further studies to understand how these relatively common genetic changes translate into increased risk of cancer," said Maris. "Ultimately, they probably cause subtle changes in gene expression during early development, interacting with other genes yet to be discovered. This suggests that neuroblastoma has complex causes, in which a series of genetic changes may occur at different sites to combine into a 'perfect
storm' that results in this cancer."

The researchers found that patients with these at-risk SNPs on chromosome 6 were more likely to develop aggressive neuroblastoma. The initial changes on chromosome 6 in all their body cells eventually led to the genetic abnormalities seen in tumor cells in high-risk forms of the disease.

Because their finding reveals only the first step in a series of molecular events, added Maris, it would be premature to do prenatal genetic testing for the SNPs on chromosome 6. His research team will continue to perform genetic analyses, in search of other gene changes that interact with those SNPs. One data source will be 5,000 tissue samples in Maris's lab -- the world's largest collection of neuroblastoma samples, drawing on
decades of research into the disease by Maris, his colleagues and predecessors at Children's Hospital.

"This discovery lays the foundation for learning how these initial changes influence biological pathways that lead to neuroblastoma," added Maris. "Understanding those pathways may guide us to new and better therapies that precisely target this cancer." Hakonarson added, "This study represents one of many ongoing projects to which scientists at The Children's Hospital of Philadelphia are committed, and we anticipate several comparable discoveries will be made in other common and equally complex pediatric disorders, such as autism, asthma, ADHD and diabetes."

The National Institutes of Health supported the study, along with grants from the Alex's Lemonade Stand Foundation, the Center for Applied Genomics, the Abramson Family Cancer Research Institute and the Institute of Cancer Research, located in the U.K.

Among Maris's and Hakonarson's co-authors were several collaborators from The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine; the Institute of Cancer Research in Surrey, U.K.; the University of Birmingham, U.K.; the University Federico II, Naples, Italy; the University of Rome; the Children's Hospital of Los
Angeles; and the University of Florida.

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 430-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.

SOURCE The Children's Hospital of Philadelphia

For more on this story visit:
CBS3.com Video

Image






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Thursday, March 20, 2008 8:19 AM CDT

HAPPY SPRING!

Daniel is now 4 years old and doing great! He had a wonderful birthday celebration that seemed to last the whole month of February. He had a party with his friends at Chuck E. Cheese, we had 2 separate family get togethers, and he celebrated at pre-school. He continues to talk about his next birthday and I love to hear it. Every child’s birthday is special, but when a child who was diagnosed with cancer has a birthday, another year milestone, it is incredibly emotional.

Another big event is having his annual check up at the pediatrician’s office. To see that he is growing normal and developing normal and that everything seems to be on track with him is reassuring. We weren’t so crazy about having to get 5 shots, but he remained the same brave little boy he has always been. He cried, but took it pretty well. After he calmed down and we left the office, the near mention of him having gotten the shots would start him crying again. Thankfully, that’s it for now. I look forward to Daniel’s next check up with the oncologist in July to further confirm how well he is doing. I know we need to be slightly concerned about the late effects of the chemotherapy treatments, but I don’t see any problems and fully do expect there to be any.

I recently had a scare with my other son, Jason, who is 5. I took him to the dermatologist because he had a red, blood filled mole on his arm that would bleed when it was bothered. I tried to diagnosis it on the internet and then decided it was best left up to the doctor. I thought it looked like a pyogenic granuloma and when the doctor saw it, he said that was what it was, but it needed to come off. Jason got the bravest kid of the day award for lying still while the doctor numbed his arm and removed it. He was terrific. Usually, if nothing is found, you don’t hear anything else back from the doctor about it. Well, he called.

He told me that it was not a pyogenic granuloma, that the dermapathology report came back as a Spitz Nevus. He was going to consult with someone and get back to me the next day.

“The Spitz nevus is a fairly common nevus that has its onset most commonly in childhood. In fact, approximately three-quarters of patients are younger than 15 years. This melanocytic proliferation is benign; however, the histologic appearance may at times be difcult to distinguish from melanoma. Indeed, there are a few cases where the most experienced dermatopathologist has called a lesion a benign Spitz nevus but the lesion went on to metastasize.”

“A Spitz Nevus can be difficult to distinguish from melanoma in children.”

“There have been several reports of lesions originally misdiagnosed as Spitz moles in children, only later discovered to be metastasizing melanomas.”

“Differentiating Spitz nevus from malignant melanoma is difficult and controversial.”

“Although the diagnosis of most nevi and melanomas is straightforward, when it comes to evaluating Spitz nevus, its variants, and a few other borderline melanocytic tumors, the differential diagnosis can be vexing.”

That’s all I had to read and I freaked out. I think it just brought back all my feelings and fears of what I had gone through with Daniel. I started doing research and reading a lot of scary things. I had a restless night and immediately felt stressed out. I do not miss that.

It wasn’t until the next day that he told me that it is a classic, compound Spitz Nevus which is a benign condition and that he called a doctor at Memorial Sloan Kettering to consult about whether or not to excise the area because Jason is only 5. I did not know if it was a typical or atypical Spitz Nevus or that the consult wasn’t about the pathology report until the next day, which I’m sure fueled my anxiety about the situation.

Even so, as I have read and as the dermatologist has said himself, “there is no reliable way to say without fail.”

On the positive side –

“Melanoma in children is relatively rare.”

“It is much more common for a child to have a totally benign Spitz Nevus than to have a melanoma”

I just can’t take that chance. On the recommendation of the dermatologist and a dermatologist from Sloan Kettering who specializes in diagnosis, treatment and prevention of cancers of the skin, Jason is going to the dermatologist tomorrow to have the area excised. I believe he said he has to cut 5 mm in each direction and cut all the way down through all layers of his skin. He will have stitches inside that will dissolve and stitches on the outside that will have to be taken out later. His scar will be about an inch and a half long. I hope he can handle this and isn’t traumatized. If he is anything like his brother Daniel, he will do fine.

I pray that Jason gets through the procedure okay and that nothing new shows up on the pathology report.

Jason did great! He was given 3-4-5 (i don't know exactly how many, I couldn't watch) numbing needles to which he calmly said "ouch" and "that hurts" and then he laid still the entire procedure (about 30 minutes) and watched a movie. What a brave boy! He gets his stitches out in 10 days. I am so glad that is over.

The stitches are out! It didn't bother him at all, not as much as the peppermint smell the glue had. He does not like peppermint. The doctor will need to see him in a year to do an all over body check.


Thanks for checking in!

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Sunday, January 13, 2008 10:30 AM EST

On February 10, 2008, Daniel will be turning 4 years old!
HAPPY 4th BIRTHDAY DANIEL!




Hope everyone had a great Holiday and a Happy New Year. We had a very enjoyable Christmas and an uneventful New Year’s. Jason exclaimed that this was “the best Christmas ever”…again. He said the same thing about last year’s Christmas. I guess Santa is doing things right! Daniel really got the idea of Christmas this year, unlike last year when he woke up like it was any other normal day. He ripped through all the presents with so much excitement. He never really expressed to Santa what he wanted, so Santa had to guess at what would make him happy and again, Santa did a great job. They both got 2-wheel Razor scooters and were happy about them. Daniel is under the impression that when it snows, it will be Christmas again. I have told him that that is not the case and we have been starting to focus on his upcoming birthday in February. He will be turning 4! Wow!

We started a new Cooper Family tradition this year. A package came by express mail from the North Pole. Inside was a book about the tradition and an elf. The book is called The Elf on the Shelf – A Christmas Tradition. The tiny elf comes into your home, usually around Thanksgiving and he sits on a shelf and observes the kids. Then at night, he flies back to Santa and reports if they have been naughty or nice. Each morning when the kids wake up, they run downstairs to see where the elf is hiding next. The kids would jump out of bed and race downstairs to see who could spot him first. It was a lot of fun and all we had to say was “he’s watching” and they would try to be on their best behavior. We named our elf, Happy. The name came up about 3 times when we opened the box….Jason said he looks happy. Daniel said that he was happy to get him. And Jason said that he was happier than happy. So – we named him Happy the Elf. I would highly recommend this tradition. Can’t wait for next year!

Once again, I am feeling quite blessed and grateful. Today I am still recovering from an emergency surgery on January 9, 2008 to remove an ectopic pregnancy and my right fallopian tube. On Monday, I had extreme pain in my abdomen, which made me nauseous, and I felt like I was going to pass out. It subsided after about 2 hours, but I was left with a very tender abdomen and what I described as discomfort for the next two days. I kept trying to diagnose myself on the internet and finally decided to call a doctor. I decided to take a pregnancy test that immediately came up positive. Something didn’t feel right, so I made an appointment with a fertility specialist who I saw when I was pregnant with Daniel. He told me to come right over and within an hour of seeing the ectopic pregnancy on the ultrasound, I was scheduled for surgery in the OR. I had already began to bleed and if it had ruptured it could have been life threatening. Apparently, even though I had a period in December, I was already pregnant since November 29th. The pregnancy was 6 weeks along. I am recovering just fine with the help of my husband and I go back for a checkup in a week. I caught this just in time. This only confirms what I already know, - don’t let anything go, always check it out if it doesn’t feel right. I know that Daniel is doing as well as he is today because I didn’t miss a subtle sign and I didn’t stop following through when something just wasn’t quite right.

I will update again after Daniel’s oncology appointment on Wednesday, January 23rd. I expect to report continuing great news.
UPDATE: January 23, 2008 - Another great check up! Daniel is now 30 months off of treatment and seems to be doing just fine. This visit was easy – we saw the doctor and gave a urine sample. We don’t expect the urine to show anything as Daniel never had a positive urine test, but it is a cheap and easy test, so why not. Results of the urine test are due back late next week.

Dr. Maris had some very encouraging words for us. He said that he has not seen any kids who followed the protocol that Daniel did (A3961) who have relapsed past 30 months. He says “never say never”, but he has never seen it.

Our next appointment will be in 6 months – July 2008. This will be a long day because in addition to seeing the doctor, Daniel will have a thorough check of his thyroid function, kidneys, liver, bloodwork, urine, heart tests and hearing tests. When Daniel is 3 years off of treatment, he may be able to graduate to yearly appointments with his oncologist and at that point we will talk about him being benefited by being seen by The Cancer Survivorship Program at CHOP.


This was forwarded to me the other day and it fit right in with how I am feeling. Thought I would share it.



Thursday, November 22, 2007 8:00 AM EST

Season's greetings! I hope everyone has a wonderful holiday. We will be spending Thanksgiving at my my sister’s house with some of my family. I woke up this morning feeling extremely grateful for a lot of things. Last night I asked Daniel what he was thankful for. He said he was thankful for medicine for Jason. Jason takes allergy medicine every night. I thought it was ironic that Daniel would be thankful for that for his brother. Then, this morning, I asked Jason what he was thankful for. He said he was thankful for Daniel’s doctors that helped his cancer. My heart melted. What a wonderful way to start Thanksgiving. We have a lot to be grateful for and at the top of my list today is health and my family. My sister was diagnosed with breast cancer in August. She has already undergone some biopsies and surgeries. She has another surgery coming up this Monday and then on December 6th she will have the big surgery to hopeful ensure that the cancer will not be coming back. After my experience with Daniel, I can feel confident that she will beat this. Please keep her in your prayers. It will be a rough holiday this year.

The boys are doing well. They both love school. Jason was evaluated for Language testing in Kindergarten and he came out high above his range level – I was told that he was at the level of a 7 year old as far as language goes. I am so proud of him. Daniel is so excited to get to school, that he is still insisting on sitting in the car 10 minutes before it is even time to leave.

We are really looking forward to Christmas this year and have already started the countdown....16 days to go!

Daniel’s next oncology visit is set for January 23rd. This will be the first time he will be in for just seeing the doctor and having his urine checked. It should be a quick, no big deal visit. However, I have to admit, it still brings up a lot of fear every time I set the next appointment. Especially after knowing about 4 kids who have relapsed after some time and reading that they were otherwise healthy and that they thought they were moving on to 6 month checkups, only to be told of relapse, or that they went from moving into normal life to planning a memorial in less than a month. This disease is so scary! Thankfully, I don’t think Daniel could have gotten a better prognosis. But we never stop praying for his continued good health.

Check out the new photos!

Neuroblastoma Expert Reviews Progress And Challenges In Fighting Difficult Pediatric Cancer

ScienceDaily (Jun. 25, 2007) — Childhood cancers are fortunately rare, but among them, neuroblastoma is a special case, accounting for 7 percent of all childhood cancers, but 15 percent of childhood cancer deaths. It typically occurs as a solid tumor in the abdomen, but also in the neck, chest, and pelvis, developing in the network of the body's sympathetic nervous system.

Neuroblastoma is what physicians call a heterogeneous disease; its name includes subtypes of disease that behave very differently. Some cases strike in infants, but spontaneously disappear with minimal treatment, while other cases in older children may be relentlessly aggressive from the start. So precisely defining a given patient's risk level can help oncologists design the best treatment, avoiding the twin pitfalls of undertreating or overtreating any given child.

Better treatments may be on the horizon, but better understanding of neuroblastoma's precise biology can guide physicians to the best choices among possible options.

John Maris, M.D., of The Children's Hospital of Philadelphia, describes the current status of neuroblastoma treatment and trends for the near future, in the June 23 issue of the British journal Lancet. Maris is among the world leaders in neuroblastoma research, with a lab holding tissue samples from 5,000 patients--the world's largest sample collection for the disease.

In his paper, Maris reviews new approaches to treatments for a particularly challenging set of patients--children whose neuroblastoma has relapsed in an aggressive form. One particular technique being used and studied at Children's Hospital employs radioactive isotopes that zero in on neuroblastoma cells to selectively kill those cells with radiation. Other tools include retinoids--biological molecules that hone in on cancer cells, angiogenesis inhibitors that cut off a tumor's blood supply, and tyrosine kinase inhibitors that interrupt a critical step in the tumor's growth process.

"These approaches are targeted therapies--aimed in highly selective ways at cancer cells, but sparing healthy cells," said Maris. "But in order to best guide us to the most appropriate treatments, we need greater understanding of the abnormal biological events that give rise to neuroblastoma." One crucial technique for identifying biological pathways is through studies of the gene mutations and variations involved in different types of neuroblastoma, and Maris's team is calling on the sophisticated gene-hunting facilities at the new Center for Applied Genomics at Children's Hospital to advance that knowledge.

"Our goal is to match the most appropriate treatment with precise molecular targets in biological pathways, so we can intervene to stop neuroblastoma in its tracks," said Maris.

Support for the paper was provided in part by the National Institutes of Health, the Children's Oncology Group, and a variety of private foundations and organizations. In addition to his position at Children's Hospital, Maris is on the faculty of the University of Pennsylvania School of Medicine. Maris's co-authors were Michael D. Hogarty, M.D., of The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine; Rochelle Bagatell, M.D., of the University of Arizona Health Sciences Center and Steele Children's Research Center of Tucson, Ariz.; and Susan L. Cohn, M.D., of Comer Children's Hospital and the University of Chicago.

Adapted from materials provided by Children's Hospital of Philadelphia.


Thursday, October 4, 2007 3:00 PM EST

WHAT AN AWESOME DAY IT WAS! – The 2007 Parkway Run/Walk for Children’s Cancer Research took place on Sunday, September 30, 2007 under beautiful blue skies, warm temperatures, and plenty of friends and family...The Friends of Daniel Cooper Team had 77 members this year! Our online Fundraising Page raised $712.00!

To check out photos of the big day from the Evite.....Click Here

There's still time to DONATE!....Click Here

To Invite others to donate.....Click Here



More Photos from the 2007 Event:



And check out this awesome video from the 2005 Parkway Run/Walk featuring Daniel when he was going through treatment for neuroblastoma:
Video


Thursday, September 6, 2007 7:00 AM EST

*********************************************************************************************
Please keep Lydia Frederick and her family in your prayers. Her cancer has spread so much and so fast that treatment has been stopped. She will be leaving CHOP shortly to go home on hospice care. Lydia is 3 years old.

Lydia passed away Saturday, September 8th at 4:45 am at CHOP while sleeping with Mommy and Daddy.

http://www.caringbridge.org/visit/lydiaf

**********************************************************************************************

WE DID IT!!! FRIENDS OF DANIEL COOPER TEAM EARNED A TENT ON THE PARKWAY!

THANK YOU to everybody who registered to be a member of our team! It will be an awesome day!


MESSAGE TO TEAM MEMBERS: Meet at the tent to pick up your Parkway t-shirt, team t-shirt, and thank you gift. I will be there at 7:00 am.

Wear something light that you can just put your team t-shirt over. I'm not sure where you can change, except in a bathroom at the Four Season's Hotel.

I am hoping to be able to organize a group photo with as many team members as possible. I could probably use some help accomplishing that task. Hopefully, before the start of the race.






IT’S ALMOST HERE! – Sunday, September 30, 2007 – The 2007 Parkway Run/Walk for Children’s Cancer Research – Join the Friends of Daniel Cooper Team!


Click Here to View or Reply to the Evite
Click Here to Donate
Click Here to Invite Others to Donate

The Family Fun Walk


One of the most beautiful things about The Parkway Run is seeing the number of families and friends that come out in support of kids suffering from or recovering from cancer.


Many groups design banners or flags to help them stick out in the crowd. Others create their own T-shirts. And if you “Team Up” to cure cancer and sign up more than 75 people for your team, you can start the day with your own tent on The Parkway.


Families and friends have lots to do on Race Day. Before the start of the race, kids can hang out at the Children's Tent where they can play games, have their face painted and ham it up with clowns.


As for the race itself there are several options. Some choose to show off their athletic prowess by running the 5K Race. Most families and friends enjoy the Family Fun Walk, proudly parading right up the middle of The Benjamin Franklin Parkway from the Four Seasons Hotel to the Art Museum. And if that walk gets a bit long, just cross to the other side of the street and head on back to the Four Seasons where a buffet breakfast awaits you.


2007 Family Fun Walk Details


When: Sunday, September 30, 2007 - Rain or shine


Where: Four Seasons Hotel, One Logan Square 18th St. and Benjamin Franklin Parkway Philadelphia, PA 19103


Time:
7:00 am - Registration Opens
8:30 am - Family Walk and Run Begins
9:45 am - Award Ceremony and Raffle Drawing


Course: Up the middle of the Benjamin Franklin Parkway to the Art Museum and back


Parking: The closest parking is located on 18th and Cherry Street, one block from the race start.


2007 Race Details


Course: U.S.A.T.F. certified 5K down the Benjamin Franklin Parkway and along West River Drive. Water stations at the one and two mile mark


Timing: Chip timing will be provided


Results: Results will be posted on www.parkwayrun.com


Early Race Packet Pick-up: Pick up your Race Packet in advance and sleep in a bit on Race Day. Early pick-up is available for anyone who has registered by 9/23. You can pick up your Race Packet at the Four Seasons Hotel on Thursday, 9/27 and Friday, 9/28 from Noon - 6:00pm and on Saturday, 9/29 from Noon - 2:00pm


Great Prizes: The Parkway Run is famous for the prizes offered to winners. The Top Male and Female Runner will each receive a trip to another Four Seasons Hotel complete with transportation. We also offer male and female prizes in 11 different age categories with 1st, 2nd and 3rd place prizes being awarded in most categories. Prizes include gift certificates for dining at many of Philadelphia’s finest restaurants including Davio’s, Estia, Fork, The Golden Pheasant, Lacroix’s, The Public House and Siam Cuisine. Others will win gift certificates for stays at some of Philadelphia’s finest hotels including Hyatt Penn’s Landing, Inn at Penn, Loews, Marriott, Ritz Carlton, Westin and of course, The Four Seasons.




Tuesday, July 17, 2007 10:00 AM EST

Please keep Daniel in your prayers as he goes in for scans at CHOP tomorrow. As usual, even though I am feeling pretty optimistic about getting good results, there is never a time that worry doesn’t creep in. As I said before, if all goes well with this scan, it may be his last. This is because the risk of radiation exposure becomes greater than the risk if his cancer coming back. WOW! How great to reach this milestone. It brings me to tears every time I realize how fortunate we are.

I started worrying about the fact that they were going to scan Daniel’s neck as usual, but also scan his chest this time. We haven’t looked there since the beginning of this ordeal. And because it could be the last time we check inside his body with a picture I thought it would be even more comforting to me if we also checked out his abdomen, since the majority of neuroblastoma starts there. I made a call to Dr. Maris and was sure he would come back and say that there is no need to do that, it would only expose him to more radiation, and the likelihood of it showing up there is very small….but instead, he went ahead an ordered a CT scan of his abdomen also.

When I mentioned to Daniel that he was going to the hospital he was acting very scared. He is mostly afraid of the “pinch” from the IV they need to give him for contrast. We have been practicing holding very still so that he can get his picture taken without having to have yucky medicine. He hasn’t been sedated in so long, I am hopeful that he will be able to do it again. I think the total time under the scanner should only be around 15 minutes. And we are fortunate to have Melanie from Child Life Services meeting us there again. She has been there for most of Daniel’s scans and she is wonderful with him.

The schedule tomorrow is to arrive at 8:30 (I was told they have a wonderful new sedation unit), CT scan of neck, chest & abdomen at 9:30, heart test at 11:00, appointment with Dr, Maris at 12:00, and then hearing test at 1:30. I will update with the results tomorrow. Thanks for checking in!

Daniel and Jason’s PopPop, Joes’ dad, passed away on June 26. We will miss him.

UPDATE: 2 years NED! Daniel had a great checkup and was a perfect patient! We documented our visit, since this was to be our last scan, unless something comes up that is concerning in the future. Otherwise, we see Dr. Maris in 6 months (January) for an office visit and urine test. They will continue to check his urine for the next couple of years, but will not continue to do routine bloodwork. We will keep a check on any late effects he may have as a result of his chemotherapy such as his heart and hearing, but for now everything looks great!



NEW PHOTOS IN THE PHOTO GALLERY!

On to the next charity event……………..

SAVE THE DATE – Sunday, September 30, 2007 – The 2007 Parkway Run/Walk for Children’s Cancer Research – Join the Friends of Daniel Cooper Team!
Details to follow. In the meantime, here are photos from the last 2 years:



And check out this awesome video from the 2005 Parkway Run/Walk featuring Daniel when he was going through treatment for neuroblastoma:
Video


Tuesday, June 5, 2007 9:50 PM EST

LemonAid Children's Festival
hosted by Friends of Daniel Cooper
to benefit Alex’s Lemonade Stand
June 2, 2007 - Malvern, PA


To date, we have raised $7,470.50 and with a pending contribution from Johnson & Johnson, by September our total should be over $15,600.00!

Check out the day!



If you missed it - it's not to late to donate!




Wednesday, March 21, 2007 9:00 PM EST



Daniel had his Oncology follow-up appointment today with Dr. Maris. We moved it up from April 4th because the pediatrician was concerned about very tender, swollen lymph nodes on the left side of Daniel’s neck. He was in a lot of pain for 2 nights so we started him on antibiotic and moved our appointment up 2 weeks. The good news is….it was nothing other than normal kid stuff – fighting of infections. The nodes in Daniel’s neck seem to really swell up and because they are located in his neck, it causes us to freak out a little. Dr. Maris says that this will happen, but as time passes we can hopeful freak out a little less.

Daniel’s next set of tests are scheduled for July 18th. He will have a CT scan of his neck and also of his chest (9:30). I guess because we haven’t looked there in a long time. And then we need to have his heart (11:00) and hearing (11:30) checked. He will see the doctor (12:00) and have bloodwork done at the clinic. When all goes well that day, Daniel won’t be getting any more scans and will graduate to seeing the doctor every 6 months. The heart and hearing tests will be repeated again 2 years out.


Photo Sharing and Video Hosting at Photobucket
Planning for the 3rd annual Friends of Daniel Cooper Alex’s Lemonade Stand is well under way. This event will be bigger and better than ever! We have moved the location from a small driveway to right around the corner in a community park – Burke Park, Warren Avenue, Malvern, PA.

Check back often as we add to our events list. We have added lots of fun and exciting events! Please check the website for more details:
LemonAid Children's Festival
hosted by Friends of Daniel Cooper
to benefit Alex’s Lemonade Stand


Image and video hosting by TinyPic Free Entertainment all day!
» DJ Lars
» Happy Heart Clown n' Stuff
» Stacey’s Face Painting
» Karate Demonstration
» Band: Just Add Water
» Makin' Music Rockin' Rhythms
» The Comedy Magic of Steven Black
» Storytime by Barnes & Noble
» Castle Moonbounce
» Chair Massages
» Fire Truck Rides
» Fire Prevention Demonstration
» Alex's Lemonade Dance Performance

Image and video hosting by TinyPic Lemonade (of course!) by donation
Image and video hosting by TinyPic Games for Kids with prizes
Image and video hosting by TinyPic Baked goods
Image and video hosting by TinyPic Food: Hot Dogs, Hamburgers, Pizza, Hoagies
Image and video hosting by TinyPic Raffle Items
Image and video hosting by TinyPic Yard Sale by MOMS Club of Malvern
Image and video hosting by TinyPic Candy Stick Lemons
Image and video hosting by TinyPic Special appearances by:
» 76er's Mascot HIP-HOP
» The Chick-Fil-A Cow
» Mr. C from Commerce Bank
» Sparky, the Fire Dog
Image and video hosting by TinyPic Alex's Lemonade Stand Merchandise will be available
Image and video hosting by TinyPic Vendors-Mary Kay, Discovery Toys, Market Day Gourmet, Creative Memories, Silpada Designs Jewelry, Tastefully Simple, Premier Designs Jewelry, Pampered Chef, Juice Plus, Big Yellow Box, Commerce Bank, OoglesNGoogles, The COAD Group, Judy's Gifts, The Longaberger Company, Jockey Person to Person, Canine Creature Comforts, Taryn's Closet Boutique, Flower Cards by Judy, StarBooks4U, Cute Loops, Makita, Home Cooked, My Baby Dragon, Arbonne, Tupperware, Quad Craft Corner, Beijo

CLICK BELOW TO SEE OUR EXPANDING LIST OF RAFFLE ITEMS. (contact me if you see something you are interested in)

WE'VE ADDED A SECOND BOOK OF RAFFLE ITEMS! - SEE BELOW

Cool Slideshows


Contact me at email below to purchase raffle tickets. You do not have to be present to win. Winners will be notified by phone.



Get Your Own!





PLEASE SIGN DANIEL'S GUESTBOOK !
WE WOULD LOVE TO KNOW YOU STOPPED BY !



Image and video hosting by TinyPic


Thursday, March 1, 2007 3:00 PM EST

Last Friday night, February 23, 2007, around 6:00 pm, Jason attempted to stand on a Big Wheel inside the house and fell off and broke his wrist on his right hand. He actually was able to fall asleep for about an hour with ice on it, but woke up in a lot of pain. We took him to the ER where they x-rayed it and told us he had a buckle fracture. They gave him Motrin, splinted it and put it in a sling. We were home by 10:00 pm – not bad. He slept comfortably the rest of the night and on Monday we took him to the Orthopedist and he now has a cast on. He choose red, his favorite color. He will have another x-ray in a week and they expect the cast to come off in 4 weeks and for him not to have any further problems. We had to cancel indoor soccer and swimming, but he should be back to normal by the time t-ball starts.



Thought I would share this with everyone. Below is a video of Daniel reciting The Littlest Soldiers Poem for a project we are helping out with for Kids Cancer Crusade.

If you read the poem first, I believe you will be able to make out most of what he is saying. (But, if not, I've added subtitles.) Daniel did an excellent job!

The Littlest Soldiers

The medals on our chests
Are broviacs for meds
Helmets won't stay on
Cause no hair is on our heads.

Our weapons of destruction
We take every day
We fight the battle within us
While we struggle on to play.

We fight with honor and courage
No Marine could do as well
We are only children
Living in this hell.

So bring on the medals
The purple hearts of wars
The gold cross, the silver star
To place upon our scars.

For we are the children of cancer
No one has fought so hard
But every day we struggle on
Our LIFE is our REWARD!





Saturday, February 10, 2007 10:00 AM EST

Image and video hosting by TinyPic
Image and video hosting by TinyPic

HAPPY BIRTHDAY DANIEL! You are 3 years old today! Hooray! We love you so much and wish you the best birthday yet!

Daniel celebrated his 3rd birthday at Chuck E. Cheese with some friends and had a wonderful time. Thank you to
Team Cancer Sucks
Kids Cancer Crusade
and
Coins4Kids
for remembering Daniel on his birthday with e-card greetings and surprise packages.








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