Description:

USMCI 8214/Z6091: Surgical Data 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: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=62067A0E-23F3-1D8C-E040-BB89AD435F13

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=62067A0E-23F3-1D8C-E040-BB89AD435F13

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 6/26/15
Uploaded on:

June 26, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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USMCI 8214/Z6091: Surgical Data Form NCT01167725

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  1. StudyEvent: USMCI 8214/Z6091: Surgical Data Form
    1. No Instruction available.
Patient demographics
Visit
Assessment of surgery
Was surgery performed
Reason surgery not performed
Was attempted surgery completed
Ascites drained
Intraperitoneal heated chemotherapy administered
Peritoneal Carcinomatosis Index
Anatomic region
Reconstructions/diversions
Reconstructions/Diversions
Reconstructions/Diversions
Extent Of Resection
Extent of Resection
Extent of Resection
Peritonectomy
Peritonectomy
Peritonectomy
Residual disease
Residual disease after cytoreduction, CC Score
Residual disease after cytoreduction, RR Score
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