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Create Clinical Course
ClinicalCourse for T-013
Site of Disease
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Oral Cavity
PNS
Nasopharynx
Oropharynx
Hypopharynx
Larynx
Subsite
-- Select Site First --
Clinical T
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Tis
T0
T1
T2
T3
T4a
T4b
Clinical N
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N0
N1
N2a
N2b
N2c
N3
Clinical M
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M0
M1
Max Tumour Dimension (cm)
Min Tumour Dimension (cm)
Prior Radiotherapy ?
Radiotherapy Details
Prior Chemotherapy ?
Chemotherapy Regimen
Biopsy Report
Treatment Plan
Date of Admission
Date of Surgery
Primary Surgery
Neck Dissection
Level I
Level II
Level III
Level IV
Level V
Reconstruction
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Primary closure
Local flap
Regional flap
Free flap
Course in the Hospital
Tracheostomy ?
NG Tube ?
Date of Discharge
Date of NG Tube Removal
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