Radiation Treatment Form, Form G, GOG-0219 Cisplatin and Radiation Therapy With or Without Tirapazamine in Treating Patients With Cervical Cancer Source Form: NCI FormBuilder:

  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on:

January 9, 2015

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Creative Commons BY-NC 3.0 Legacy
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Cervical Cancer NCT00262821 Treatment - Radiation Treatment Form, Form G, GOG-0219 - 2302118v3.0

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  1. StudyEvent: Radiation Treatment Form, Form G, GOG-0219
    1. No Instruction available.
Header Module
Radiation Location
Radiation Treatment Summary
Reason for delays (of >4 days) or reduced fractional dose (Use form Q0 for reporting reason for discontinuing therapy)
Footer Module

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