Stage 3 Pancreatic Cancer Questionnaire | Pancreatic Cancer- Protact

Initials (two-letter initials only; e.g. if your name is John Smith type: JS ) *

Email *

Telephone *

Comment or Message

Are you older than 18 years? *

Were you diagnosed with Pancreatic cancer stage III ? *

Were you diagnosed as “Resectable” or “borderline resectable”? *

Have you been diagnosed with Metastatic disease? *

Do you have any known issues with chemotherapy? *

Can you walk? Ambulatory? *

Are you pregnant? *

Do you have other malignancies (current, previously treated)? *

Have you had any prior therapy (to your current condition)? *

Have you undergone major surgery in the last 4 weeks without complete recovery? *

Do you have cardiac or peripheral vascular disease? *

Have you been diagnosed with HIV, hepatitis B virus, or hepatitis C virus? *

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