Description:

RTOG 1016 S1: Radiation Therapy Oncology Group Phase III Head a& Neck Cancer Surgery Form Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-915B-FFE2-E040-BB89AD43727A

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-915B-FFE2-E040-BB89AD43727A

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

January 9, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Head and Neck Cancer NCT01302834 Treatment - RTOG 1016 S1: Radiation Therapy Oncology Group Phase III Head a& Neck Cancer Surgery Form - 3183854v1.0

INSTRUCTIONS: Submit for all patients within 2 weeks of study entry. Submit with copies of the operative report (S2) and surgical pathology report (S5). Dates are mm-dd-yyyy unless otherwise specified

Unnamed Module 1
Amended Data
Module 2
Primary Site (Pathologic Assessment)
Primary Site (Pathologic Assessment)
Nodal surgery
Neck nodal site right
Neck nodal site left
Neck Nodal Sites (pathologic Assessment)
Location
Extracapsular Extension?
Was tumor present in the soft tissue of the neck without an identifiable lymph node present?
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