Colorectal Cancer Treatment Progress Tracking Chart

A comprehensive monitoring tool for patients undergoing colorectal cancer treatment

Oncology

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Template Content

Last updated: Mar 24, 2025

Patient Information

  • Name: _________________
  • Date of Diagnosis: _________________
  • Medical Record Number: _________________

Disease Status

Initial Stage: □ I □ II □ III □ IV Tumor Location: □ Colon □ Rectum

Treatment Timeline

Surgery

Date: _________________ Procedure Type: _________________ Surgeon: _________________

Chemotherapy Cycles

Cycle Date Drug(s) Side Effects Blood Counts
1
2
3
4

Radiation Therapy

Start Date: _________________ End Date: _________________ Total Sessions: _________________

Monitoring Metrics

CEA Levels

Date Level Normal Range
0-5 ng/mL
0-5 ng/mL

Imaging Results

Date Type Findings
CT
MRI
PET

Quality of Life Indicators

Pain Level (0-10)

Date Score Notes

Weight

Date Weight (kg) Notes

Follow-up Schedule

  • Next Appointment: _________________
  • Next Imaging: _________________
  • Next Blood Work: _________________

Notes



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