Description:

ACNS0122 Surgical Checklist 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: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD7B6161-4826-29D3-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD7B6161-4826-29D3-E034-0003BA12F5E7

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  1. 8/26/12
  2. 1/9/15
  3. 6/21/15
Uploaded on:

June 21, 2015

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Creative Commons BY-NC 3.0 Legacy
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ACNS0122 Surgical Checklist Worksheet NCT00047320

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  1. StudyEvent: ACNS0122 Surgical Checklist Worksheet
    1. No Instruction available.
Header
Primary Surgery
When was surgery performed?
Reason For Surgery
what was the extent of tumor resection? (If yes,)
Was shunt operation performed?
Was cyst aspiration performed?
Was there any other purpose for this surgery?
Was tumor biopsied or resected during this surgery?
Cns Peri-operative Complications
Were there neurological complications of the surgery?
Was there CNS infection associated with this surgery?
Post-op Steroids Used
Were steroids used post-operatively?
for how long? (If yes,)
Comments
Ccrr Module For Acns0122 Surgical Checklist Worksheet