ACNS0122 On Study 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:

  1. 8/26/12 8/26/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 7/5/15 7/5/15 -
Uploaded on:

July 5, 2015

To request one please log in.
License :
Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

ACNS0122 On Study Worksheet NCT00047320

No Instruction available.

  1. StudyEvent: ACNS0122 On Study Worksheet
    1. No Instruction available.
Miscellaneous Patient Information
XRT associated with this study?
Method of Payment
Pre-study Neurosurgeries
Was surgery performed prior to study enrollment?
Pre-treatment Imaging Studies
Type [imaging studies]
Tumor Location
Were Supratentorial sites involved?
Were there other Supratentorial sites?
Were Infratentorial sites involved?
check all Infratentorial sites involved on T1 post gadolinium MRI (If yes,)
Were there other Infratentorial sites?
Was Spinal Cord involved at diagnosis?
Were there other Spinal Chord sites?
Was Dura involved?
indicate type of involvement [dura] (If yes,)
Was CSF cytological evaluation of lumbar fluid positive?
Were there other sites involved?
Primary Disease
What is the primary disease site?
Ccrr Module For Acns0122 On Study Worksheet

Similar models

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial