NSABP C-11 Worksheet for Surgery Form Combination Chemotherapy Before or After Surgery in Treating Patients With Colorectal Cancer With Liver Metastases That Could Be Removed By Surgery Source Form: NCI FormBuilder:

  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
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January 9, 2015

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Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT01189227 On-Study - NSABP C-11 Worksheet for Surgery Form - 3108323v1.0

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  1. StudyEvent: NSABP C-11 Worksheet for Surgery Form
    1. No Instruction available.
Section 1
Was the patient's primary tumor resected
Reason resection was not performed (If no,)
Are all surgical margins of resection negative for tumor
Tumor Location
Primary tumor surgical procedure
Pathologic T Stage
Section 2
Were extrahepatic metastases identified after randomization and prior to initial surgery
Was hepatic surgery initiated?
Reason surgery was not initiated
Were extrahepatic metastases identified during initial surgery
Outcome of surgery
Were at least two adjacent liver segments spared
Section 2 (continued)
Liver procedure
Were ablative techniques used to eliminate gross disease

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