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CCF Annual Conference - Autoimmune disease and CCA

Our body's immune system protects us from infection by recognizing that viruses and bacteria are not part of our body, so it attacks and destroys them. 

If you have an autoimmune disease, your immune system attacks the healthy cells of your organs and tissues by mistake. 

Researchers found that patients with autoimmune diseases will have a higher risk for cancer. 

We appreciate your participation in this survey to report the association between autoimmune diseases and cholangiocarcinoma.
1.First Name
2.Last Name
3.Email(Required.)
4.Please select who is filling out the survey:(Required.)
5.What is the patient's gender(Required.)
6.What is the patient's race? [select all that apply](Required.)
7.What was the month of cholangiocarcinoma diagnosis?(Required.)
8.What was the year of cholangiocarcinoma diagnosis? (YYYY)(Required.)
9.What was the patient's age at the time of cholangiocarcinoma diagnosis?(Required.)
10.What is/was the type of cholangiocarcinoma that the patient was diagnosed with?(Required.)
11.What is/was the time interval between symptoms development and the cholangiocarcinoma diagnosis(Required.)
12.Before the diagnosis of cholangiocarcinoma, has the patient had a regular surveillance/screening program for early detection of cholangiocarcinoma?(Required.)
Current Progress,
0 of 18 answered