My Great Family!

On Tuesday, we received a call from Dr. Bowman regarding a revised histology of Payton's tumor. A pathologist at the National Wilm's Tumor Study Group modified the prognosis from a stage 1, favorable histology to stage 2, diffuse anaplasia (unfavorable histology). Apparently the tumor had penetrated the renal capsule (outer lining of the kidney) and the cells displayed subtle characteristics associated with anaplasia; therefore necessitating a more aggressive post-surgical approach. Bad news to say the least! Now Payton will have to endure more extensive chemotherapy (5 chemo drugs for 28-30 weeks) accompanied by two weeks of radiation. This more aggressive approach carries with it a higher likelihood of long-term side affects due to the chemotherapy and radiation and an increased chance of relapse. Payton will start his Radiation and Chemo treatment on Monday. He will spend at least one night in the hospital to be monitored and kept on an IV to make sure that he stays well hydrated. Despite this, Payton still has a very good long term prognosis. With proper Chemo and Radiation the odds for relapse at a stage 2 with unfavorable histology are around 20 percent. We have faith that Payton will come through this just fine. We are praying that he will have the strength to get through this without any long term side effects, minimal short term effects and no relapse. After 28-30 weeks of treatment Payton will have continue to have MRI’s every 3 months, and they will continue to monitor his heart since one of the side effects of the chemo drugs could cause damage to the heart muscle (the left ventricle.)

Our love for Payton grows more each day. He has such a special place in our hearts and we are determined to do whatever it takes to help him get through this. We ache to know what he has ahead. We will be right there by his side to make sure that he stays strong. We can’t thank everyone enough for your continued prayers and strength that you give us. If I could give any advice it would be to not take life for granted, don’t let a day go by that you don’t appreciate what you have. Life is so precious. I want to thank everyone in our lives, we love you all.

Payton enjoying some "hot noodles"