Superficial Bladder Cancer - Follow-Up Form Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
Uploaded on:

January 8, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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Follow-Up - Superficial Bladder Cancer - Follow-Up Form - 2019332v2.31

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  1. StudyEvent: Superficial Bladder Cancer - Follow-Up Form
    1. No Instruction available.
Crf Header
Bladder: Form Administration
Amended Data Ind
Bladder: Vital Status
Patient's Vital Status
Death Reason
Bladder: Disease Follow-up Status
Cancer Follow-up Status Ind
Bladder: Superficial Disease Follow-up Assessment
Cytology Result
Cystoscopy, Lesions Identified Ind
Cystoscopy, Papillary Tumors Present Ind
T Stage, Papillary Tumor
Histologic Grade
Progression, Superficial Bladder, Treatment Applied
Bladder: Notice Of Progression
Progression Ind, Superficial Bladder
Progression Site, First Local
Progression, T Category Increase
Progression Ind, Distant Metastatic
Progression Site, First Distant
Bladder: Notice Of New Primary
New Primary Cancer Ind
Bladder: Long-term Toxicity
Late Adverse Event Ind
Late Adverse Event Term
Allows Documentation Of Any Additional Cooments

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