Serena’s Story

Site created on June 27, 2008

Serena was diagnosed with stage IV high risk Neuroblastoma on June 23, 2008.  Two years of intense treatment improved her disease so that it was minimal and stable for about one year. Scans in Dec. of 2010 showed a mild progression of the disease. Serena has been on Millenium (clinical trial phase 2 low dose chemo) for 2 and a half years to keep the cancer cells from progressing any further.  
Thank you all for your support.  Words can not express how grateful we are for your love, support and prayers.

On June 23, 2008 (at age 3), Serena was diagnosed with Stage 4, High Risk, Neuroblastoma Cancer. This is a childhood cancer that is the second most common in children (2nd to Leukemia). However, it only affects roughly 700 children per year in the United States.  Neuroblastoma normally originates in the adrenal glands and then it spreads through the nerves. With Serena, it originated in her left adrenal gland where a hard tumor developed and wrapped around the gland and interfered with the renal arteries. The Cancer also showed up throughout the rest of her body as soft patchy areas which were found along every vertebrae in her spine; and it was found in her bone marrow throughout a large portion of her body including her arms, legs and skull. Current treatments are improving but the long term survival rate is still only in the 30% range. 


*She has completed her entire original treatment plan given at Johns Hopkins: 

-7 rounds of High Dose Chemotherapy

-Numerous surgical procedures including an 8 hour surgery to remove the adrenal tumor

-A Bone Marrow Stem Cell Transplant (from her own body)

-12 rounds of radiation

*When her scans were improved but still not clear-we continued with:

-MIBG therapy- full body radiation where she was kept in isolation for 3 days due to her radioactivity. (given at Sloan Kettering in NYC.) I (Mom) was allowed to be in the room with her behind a lead wall.

Back at Hopkins:


-Another round of high dose chemo-including Irenotecan.*severe allergic reaction

-A 6 month regimen of low dose chemotherapy including temador and topotecan, given at the outpatient clinic and simultaneously, the chemo drug Accutane adminstered at home.


-Serena's Cancer was stable and minimal for about 1 year; roughly the year of 2010. 

-During her stability, our family moved from the Baltimore area to Southern Pennsylvania and due to insurance changes, we transferred Serena's care to CHOP.  (Children's Hospital of Philadelphia)

Serena has been in the Intensive Care Unit several times, 2 times post surgeries, 2 times post bone marrow transplant, and once during the last round of high dose chemo which caused a rare reaction to the Chemo drug-Irenotecan.  It caused a pleural effusion(hole in her lung causing fluid in and around her lungs) She was in the PICU and on life support/breathing machine for 10 days-by far the scariest time-we almost lost her.


Throughout Serena's journey thus far, She has had more blood transfusions than I can count(roughly 100).  She has suffered from difficult side effects both short term and long term.  She has heart(improving now) and kidney damage which has caused high blood pressure. 

Her organ damage made her ineligible to try many other clinical trials with the latest experimental therapies, including antibody therapy 3F8 or CH 14-18.  Since this treatment causes pain, and raises blood pressure while administering it, she has not been eligible for this treatment.
 
The bone marrow biopsies from over the summer of 2009 showed that the NB cells were starting to downgrade to Ganglioblastoma cells(a less agressive form of Neuroblastoma).

Unfortunately, there was some disease progression in December of 2010 Serena has been on a new medication MLN (Millenium) 8237 which is an oral chemo given at home.  Thankfully, her cancer was slow growing when it showed progression. 

Originally we thought the treatment would be done by the summer of 2009; however now we realize that Serena's situation is not simple, but quite complex.  We DO know that fighting Neuroblastoma may be a lifelong war and not just a short battle.  Our focus has changed from trying to "cure" her cancer, but rather now, we are trying to manage her disease as a chronic health condition, while keeping her quality of life as good as possible.  We are so grateful that Serena is doing so well. Our active sweet 8 year old girl (birthday-11/30/04) is going into 3rd grade, is involved in dance and is learning how to play guitar and piano! Thank you from our entire family for your support and for following Serena's story! 

 

Newest Update

Journal entry by Becky Lambert

Hi Everyone!  I don't know who will still read this, since I haven't been active on Caringbridge in so long.  What a tough year this has been for all of us, huh?  

Serena is doing well.  She has been in remission for 6 years and counting :)) She is in the long term survivorship program.  We go once a year to CHOP (Children's Hospital of Philadelphia) and see a variety of specialists.  We still can't say that she is NED(no evidence of disease) or cancer free, because there are still spots that show up on scans.  But that is ok, because she is doing great and we have every reason to think that she will continue to do well.  She was on a growth hormone and it worked!  She reached 5 feet in height.  She is 16 now by the way.  She decided to stop her growth hormone when she reached this height.  Jeff and I support that decision.  She is basically only on one medication- a low dose losartan to help with her kidneys, heart and slightly high blood pressure.  She is still on Juiceplus supplements and Vitamin D to help keep her immune system strong and to help with her energy level.  Considering all of the medications she has been on in the past, we are so grateful to be down to this small regimen. 

Since we live in PA, we are so fortunate that Serena has been physically in school all year.  She had the option to go virtual, hybrid or full time brick and mortar.  She chose to be there all 5 days in person.  Jeff and I completely support this choice.  She had to do distance learning for a few months at the end of last year when everyone was quarantine and she had a really hard time with that.  She got depressed and lethargic.  She also had dance on zoom calls.  This was tough as well, although we were grateful that at least she had that interaction with her dance friends online and had physical activity to help keep her spirits up. Serena was involved in the competition team for 4 years and covid cancelled all of the competitions for last year.  :( They did have a recital in June of last year.  It was a different type of recital to say the least! It was really cool!  It was set up outside of the studio in the parking lot, and the studio owners Ms. Alexa and Mrs. Antonia set up a schedule to keep people social distanced as much as possible.  They put a lot of thought and planning in to the event and my hats off to them!  They made it work.  I think not many dance studios still had a recital last year, so we were so grateful to have had ours.   And this was a biggie for Serena, because she decided not to dance anymore.  It was a tough decision, and I as a dance mom will miss it in so many ways.  But I agree with her decision.  She gained a lot from the experience of dancing all of these years.  Her health benefited tremendously during her growing years.  Her endocrinologist Dr. Mostafi-Moab was thrilled that she was dancing and doing weight bearing exercises as it was really good for bone health, etc.  In fact, she gave Serena a hard time at our last appointment and wanted a definite plan on what type of exercise/activity she was going to do instead of dance.  We are still working on that.  One issue was that she hurt her ankle last year at dance, and had to sit out A LOT during practices.  It was a real bugger to get healed.  There were a LOT of physical therapy appointments involved and a lot of frustration on Serena's end.  This definitely contributed to her deciding not to dance anymore.    She was starting to get into skateboarding so that seemed like a good activity for her... until, she hurt her ankle AGAIN!!! back in the boot for a few more months.  How aggravating.  2 times, same ankle, hairline fractures both times.  Anyway, she seems to be past all of that now, Thank goodness!

Currently Serena is in Arizona with her very dear friend Livia, they used to dance together at Supernova. 
Happy New Year everyone! 
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