ACNS0122: Relapse/Progression Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder:


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  3. 6/16/15
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June 16, 2015

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ACNS0122: Relapse/Progression Worksheet NCT00047320

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  1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
    1. No Instruction available.
Date of relapse or progression
Type Of Recurrence/progression
Recurrence/progression of original involved sites?
Recurrence/progression in previously uninvolved neural site?
Extra-neural recurrence/progression?
Sites Of Involvement
Supratentorial [involved?]
Supratentorial [indicate sites involved]
Infratentorial [involved?]
Infratentorial [indicate sites involved]
Ttype of involvement?
Ttype of involvement?
Ttype of involvement?
Ttype of involvement?
SPINAL CORD [involved?]
SPINAL CORD [indicate sites involved]
DURA [involved?] (Incl. Falx and Tentorium)
DURA [indicate sites involved]
Was CSF positive?
Ccrr Module For Acns0122: Relapse/progression Worksheet