USMCI 8214/Z6091: Pre-Treatment Measurement Form NCT01167725 Standard Therapy With or Without Surgery and Mitomycin C in Treating Patients With Advanced Limited Peritoneal Dissemination of Colon Cancer Source Form: NCI FormBuilder:

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June 3, 2015

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USMCI 8214/Z6091: Pre-Treatment Measurement Form NCT01167725

1. Record the target lesions in the same order as recorded at pretreatment (refer to Section 11 of the protocol). 2. Measure target lesions in cm. using longest diameter (one dimension only). 3. Record measurements at scheduled evaluations and progression

Tumor marker
Did the patient have measurable disease at baseline
Measurable Disease
Method of Evaluation
Nontarget lesion present
Non-measurable Disease

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