Description:

Surgical Reporting Form, GOG-0209, Form C NCT00063999 Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC6BA74-781F-740A-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC6BA74-781F-740A-E044-0003BA3F9857

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Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 6/21/15
Uploaded on:

June 21, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Surgical Reporting Form, GOG-0209, Form C NCT00063999

No Instruction available.

  1. StudyEvent: Surgical Reporting Form, GOG-0209, Form C
    1. No Instruction available.
Header Module
Gynecologic Surgical Procedure
%
Residual gross tumor
Operative procedure performed (check all that apply)
Surgical approach
Stage
Miscellaneous Assessment
cm
Microscopic disease only
Ascites
Cytology of peritoneal or ascitic fluids
Summary of operative findings
Summary of operative findings (*)
Exam (*Examined: 1=tumor present; 2=no tumor; 3=suspicious; 4=organ absent; 5=not examined)
Proc (*Procedure: 1=removed partially; 2=removed completely; 3=biopsy only; 4=left intact; 5=not applicable)
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