AMC-076 Dysplasia Treatment Form (DYS) NCT01164722 Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia Source Form: NCI FormBuilder:


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  1. 8/26/12
  2. 7/8/15
  3. 7/8/15
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July 8, 2015

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Creative Commons BY-NC 3.0 Legacy
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AMC-076 Dysplasia Treatment Form (DYS) NCT01164722

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  1. StudyEvent: AMC-076 Dysplasia Treatment Form (DYS)
    1. No Instruction available.
Header Module
Dysplasia Treatment
Was dysplasia present
Treatment location (If Yes,)
Perianal lesions treated (If perianal, Check all that apply)
Intraanal lesions treated (If intraanal, Check all that apply)
Treatment method performed
Percentage of perianal or intraanal area treated

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