Description:

CALGB: 80405 SURGICAL RESECTION FORM NCT00265850 Cetuximab and/or Bevacizumab Combined With Combination Chemotherapy in Treating Patients With Metastatic Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F39D5B9C-C840-63E9-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F39D5B9C-C840-63E9-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 6/18/15
Uploaded on:

June 18, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB: 80405 SURGICAL RESECTION FORM NCT00265850

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted.

Header
Are data amended
Patient demographics
Sites of resection
Sites of resection (Mark one with an X)
Disease status after surgery (Mark one with an X)
Surgical Complications And Morbidities
Did any of the following complications occur intra- or post-operatively (within 30 days? Mark one with an X)
Will patient resume protocol chemotherapy?

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