Vital signs will be assessed prior to and post infusion then every 15 minutes for 1 hour. TTRNA -DCs Intra - dermal 1x107 cells Days 11, 25, 39 Each immunization will be divided equally to both inguinal regions. A total volume of 200 µL per side will be delivered intradermally after preparation of skin with EMLA anesthetic cream . Sargramostim (GM -CSF) Intrade rmal 150 ug Days 11, 25, 39 Embedded in DC vaccine Filgrastim (G-CSF) SQ or IV 5 micrograms/ kg/day Beginning no later than day 16- until count recovery Per institutional guidelines Based on prior chemotherapy history, patients enrolled on Group B receiving salvage chemotherapy may need to have adjustment in their chemotherapy regimen at the discretion of the treating physician. Focal boost radiotherapy may be delivered prior to immunotherapy if required for local control.