Nodal involvement:
[% IF data_entry OR have_nodal_sites %]
| Site |
L | R |
[% END %]
[% INCLUDE build_checkbox
label = "Waldeyer's ring"
field = 'waldeyer'
span = 'tonsillar, adenoidal, pharangeal'
%]
[% INCLUDE build_checkbox
field = 'neck'
cols = 2
span = 'cervical, supraclavicular, occipital, preauricular'
%]
[% INCLUDE build_checkbox
field = 'infraclavicular'
cols = 2
%]
[% INCLUDE build_checkbox
label = 'Axillary/Pectoral'
field = 'axillary'
cols = 2
%]
[% INCLUDE build_checkbox
field = 'arm'
cols = 2
span = 'epitrochlear & brachial'
%]
[% INCLUDE build_checkbox
field = 'thymus'
%]
[% INCLUDE build_checkbox
field = 'hilar'
cols = 2
%]
[% INCLUDE build_checkbox
field = 'mediastinal'
%]
[% IF data_entry %]
|
[% END %]
[% INCLUDE build_checkbox
label = 'Para-aortic'
field = 'para_aortic'
%]
[% INCLUDE build_checkbox
label = 'Spleen (palpable)'
field = 'spleen'
%]
[% INCLUDE build_checkbox
field = 'mesenteric'
%]
[% INCLUDE build_checkbox
field = 'iliac'
cols = 2
%]
[% INCLUDE build_checkbox
label = 'Inguinal/Femoral'
field = 'inguinal'
cols = 2
%]
[% INCLUDE build_checkbox
field = 'popliteal'
cols = 2
%]
[% IF data_entry %]
| |
[% END %]
[% INCLUDE build_checkbox
label = 'Bulky disease'
field = 'bulky'
%]
[% INCLUDE build_checkbox
label = 'Check scan'
field = 'check_scan'
%]
[% INCLUDE build_checkbox
field = 'extensive'
span = 'extensive organ involvement'
%]
|