Study Title: To study the incidence of granulomatous lymphadenopathy in patients with cancer of
oesophagus and lung who undergo surgery.
Annexure A
Case Record Form
Patient’s Code No.: _______
Age: _____
Gender: ____
Date of enrolment: ____________
Parameters
Type of Cancer:
PET CT details:
Histopathology Reports:
Conclusion of patient participation: Completed/Withdrawn/Loss to Follow up
_________________________
Student’s Signature
Date: ________________
_________________________
Guide’s Signature
Date: ________________
Case Record Form Version No. 1 dated 10th February 2023
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