Description:

USMCI 8214/Z6091: On-Study Form 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=60004F3F-C2F6-CADB-E040-BB89AD43053A

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=60004F3F-C2F6-CADB-E040-BB89AD43053A

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 9/17/21
Uploaded on:

September 17, 2021

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License:
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT01167725 On-Study - USMCI 8214/Z6091: On-Study Form - 2823136v1.0

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  1. StudyEvent: USMCI 8214/Z6091: On-Study Form
    1. No Instruction available.
Header Module
Visit
Patient Demographics
Kg
cm
m2
Extenet Of Peritoneal Disease
Has the patient had laparoscopic staging
cm
Small Bowel Obstruction
Pathology Information
Tumor type
T Stage
N Stage
Grade
Lymphovascular Invasion
Mucin producing tumor
Intra-tumor K-ras mutation
Intra-tumoral thymidylate synthase expression
Intra-tumoral microsatellite instability
Prior Treatment
Has the patient received prior adjuvant chemotherapy for Stage II or III colon carcinoma
Has the patient had prior surgery for stage II or III colon carcinoma

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