GOG Recurrent Gynecologic Cancer - On Study Form Comparison of Four Combination Chemotherapy Regimens Using Cisplatin in Treating Patients With Stage IVB, Recurrent, or Persistent Cancer of the Cervix On Study Form - 2058732v3.0

  1. 8/27/12 8/27/12 -
  2. 6/24/17 6/24/17 - Martin Dugas
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June 24, 2017

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Creative Commons BY-NC 3.0
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Cervical Cancer Cisplatin NCT00064077 GOG


  1. StudyEvent: GOG Recurrent Gynecologic Cancer - On Study Form
    1. FORM OS-R
Header Module
m d y
Disease Description - Prior History
m d y
Stage (at diagnosis FIGO)
m d y
Primary surgery type (check all that apply)
Disease Description - Current History
Current status of disease
m d y
What was the method used to determine progression? (recurrence or check all that apply)
Site(s) of disease (at study entry check all that apply)
Prior Treatment For Gynecologic Cancer
Prior systemic chemotherapy?
m d y
Chemotherapy regimen
Prior hormonal therapy?
Non-protocol biologic response modifier (BRM)?
Prior radiation therapy?
Is the site of recurrence within the field previously treated by radiation therapy?

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