Description:

Esophageal Cancer - Advanced On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9A4-3FA4-E034-080020C9C0E0

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9A4-3FA4-E034-080020C9C0E0

Keywords:
Versions (2) ▾
  1. 9/19/12
  2. 1/8/15
Uploaded on:

January 8, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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On-Study - Esophageal Cancer - Advanced On-Study Form - 2020202v2.31

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  1. StudyEvent: Esophageal Cancer - Advanced On-Study Form
    1. No Instruction available.
Crf Header
Participating Group Code
Esophageal: Form Administration
Amended Data Ind
Esophageal: Advanced Disease Description
Primary Site
Disease Involvement Site
Advanced Disease Registration Status
Histologic Type
Histologic Grade
T Stage, Pathologic
N Stage, Pathologic
M Stage, Pathologic
Esophageal: Advanced Prior Treatment
Prior Surgery Ind
Prior Chemotherapy Ind
Prior Immunotherapy Ind
Prior RT Ind