First Course Treatment
Intended to affect tumor by
Includes curative and palliative treatment
First course treatment is defined in FORDS 2004, page 28, as “all methods of treatment recorded in the treatment plan and administered to the patient before disease progression or recurrence.” The intent of treatment is to modify, control, remove, or destroy the tumor. Curative treatment as well as treatment given to control symptoms, alleviate pain, or make the patient more comfortable may also be first course treatment. We will discuss the first course treatment data items the central registry is required to submit to NPCR. Cancer programs approved by the Commission on Cancer (CoC) are required to collect other first course treatment data items as well.