Plausbilisierung von Verlaufsinhalten
Folgend eine Referenzliste zu plausiblen Konstellationen innerhalb der Verlaufsmerkmale โGesamtbeurteilungโ, โTumorstatus Primรคrtumorโ, โTumorstatus Lymphknotenโ und โTumorstatus Fernmetastasenโ bei soliden Tumoren (exkl. ZNS-Tumore).
Die Tabelle ist unterteilt in zu erwartende und nicht-plausible Ausprรคgungen und Kombinationen aus diesen. Beide Tabellenblรคtter mรผssen in Zusammenschau betrachtet werden, d.h. wenn fรผr die Gesamtbeurteilung โKโ eine Kombination fรผr die Tumorstatus Primรคrtumor, Lymphknoten, Fernmetastasen aus โK, T, M, N, U, Xโ erwartet wird, ist eine Angabe mit โK, K, Kโ trotzdem ausgeschlossen.
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mso-diagonal-down:none; mso-diagonal-up:none; mso-protection:locked visible; }.x54 { mso-style-parent:style0; mso-number-format:General; text-align:center; vertical-align:middle; white-space:normal;word-wrap:break-word; background:auto; mso-pattern:auto; color:#000000; font-size:10pt; font-weight:700; font-style:normal; font-family:"Arial","sans-serif"; border-top:1px solid windowtext; border-right:1px solid windowtext; border-bottom:1px solid windowtext; border-left:1px solid windowtext; mso-diagonal-down:none; mso-diagonal-up:none; mso-protection:locked visible; }.x55 { mso-style-parent:style0; mso-number-format:General; text-align:center; vertical-align:middle; white-space:nowrap; background:auto; mso-pattern:auto; color:#000000; font-size:10pt; font-weight:700; font-style:normal; font-family:"Arial","sans-serif"; border-top:1px solid windowtext; border-right:1px solid windowtext; border-bottom:none; border-left:1px solid windowtext; mso-diagonal-down:none; mso-diagonal-up:none; mso-protection:locked visible; }.x56 { mso-style-parent:style0; mso-number-format:General; text-align:center; vertical-align:bottom; white-space:normal;word-wrap:break-word; mso-rotate:90; background:#D9D9D9; mso-pattern:auto none; color:#000000; font-size:10pt; font-weight:700; font-style:normal; font-family:"Arial","sans-serif"; border-top:1px solid windowtext; border-right:1px solid windowtext; border-bottom:1px solid windowtext; border-left:1px solid windowtext; mso-diagonal-down:none; mso-diagonal-up:none; mso-protection:locked visible; }</style><div class="cells-worksheet" data-sheet-number="0" data-sheet-name="Legende"><table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse;table-layout:fixed;width:849pt"> <colgroup> <col class="x24" style="mso-width-source:userset;background:none;width:16px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:274px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:16px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:225px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:16px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:235px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:16px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:334px"></col> </colgroup> <tbody> <tr style="mso-height-source:userset;height:13.2pt" id="r0"> <td colspan="2" class="x42" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:11.7pt">Gesamtbeurteilung</td> <td colspan="2" class="x43" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext">Tumorstatus Primärtumor</td> <td colspan="2" class="x44" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext">Tumorstatus Lymphknoten</td> <td colspan="2" class="x45" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext">Tumorstatus Fernmetastasen</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r1"> <td class="x38" style="height:11.7pt">V </td> <td class="x30">Vollremission</td> <td class="x38">K </td> <td class="x30">kein Tumor nachweisbar</td> <td class="x38">K </td> <td class="x30">kein Lymphknotenbefall nachweisbar</td> <td class="x38">K </td> <td class="x30">keine Fernmetastasen nachweisbar</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r2"> <td class="x38" style="height:11.7pt">T </td> <td class="x30">Teilremission</td> <td class="x38">T </td> <td class="x30">Tumorreste (Residualtumor)</td> <td class="x38">R </td> <td class="x30">neu aufgetretenes Lymphknotenrezidiv</td> <td class="x38">M</td> <td class="x30">Verbliebene Fernmetastase(n) (bis ADT-GEKID 2.x.x)</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r3"> <td class="x38" style="height:11.7pt">K </td> <td class="x30">Keine Änderung </td> <td class="x38">P </td> <td class="x30">Tumorreste (Residualtumor) Progress</td> <td class="x38">T </td> <td class="x30">bekannter Lymphknotenbefall Residuen</td> <td class="x38">R </td> <td class="x30">neu aufgetretene Fernmetastase(n) bzw. Metastasenrezidiv</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r4"> <td class="x38" style="height:11.7pt">P </td> <td class="x30">Progression</td> <td class="x38">N </td> <td class="x30" style="overflow:hidden">Tumorreste (Residualtumor) No Change</td> <td class="x38">P </td> <td class="x30">bekannter Lymphknotenbefall Progress</td> <td class="x38">T </td> <td class="x30">Fernmetastasen Residuen</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r5"> <td class="x38" style="height:11.7pt">D </td> <td class="x30">Divergentes Geschehen</td> <td class="x38">R </td> <td class="x30"> Lokalrezidiv</td> <td class="x38">N </td> <td class="x30" style="overflow:hidden">bekannter Lymphknotenbefall No Change</td> <td class="x38">P </td> <td class="x30">Fernmetastasen Progress</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r6"> <td class="x38" style="height:11.7pt">B </td> <td class="x30">klinische Besserung des Zustandes</td> <td class="x38">F </td> <td class="x30">Fraglicher Befund</td> <td class="x38">F </td> <td class="x30">fraglicher Befund</td> <td class="x38">N </td> <td class="x30">Fernmetastasen No Change</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r7"> <td class="x38" style="height:11.7pt">R </td> <td class="x30" style="overflow:hidden">Vollremission mit residualen Auffälligkeiten (CRr)</td> <td class="x38">U </td> <td class="x30">Unbekannt</td> <td class="x38">U </td> <td class="x30">unbekannt</td> <td class="x38">F </td> <td class="x30">Fraglicher Befund</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r8"> <td class="x38" style="height:11.7pt">Y </td> <td class="x30">Rezidiv</td> <td class="x38">X </td> <td class="x30">Fehlende Angabe</td> <td class="x38">X </td> <td class="x30">fehlende Angabe</td> <td class="x38">U </td> <td class="x30">unbekannt</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r9"> <td class="x38" style="height:11.7pt">U </td> <td class="x30">Beurteilung unmöglich</td> <td colspan="2" rowspan="2" class="x46" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:25.65pt"></td> <td colspan="2" rowspan="2" class="x46" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:25.65pt"></td> <td class="x38">X </td> <td class="x30">fehlende Angabe</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r10"> <td class="x38" style="height:11.7pt">X </td> <td class="x30">Fehlende Angabe</td> <td colspan="2" class="x50" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext"></td> </tr> <tr style="display:none"> <td style="width:12pt"></td> <td style="width:205.5pt"></td> <td style="width:12pt"></td> <td style="width:168.75pt"></td> <td style="width:12pt"></td> <td style="width:176.25pt"></td> <td style="width:12pt"></td> <td style="width:250.5pt"></td> </tr> </tbody></table> </div><div class="cells-worksheet" data-sheet-number="1" data-sheet-name="Erwartet"><table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse;table-layout:fixed;width:857pt"> <colgroup> <col class="x24" style="mso-width-source:userset;background:none;width:115px"></col> <col class="x31" style="mso-width-source:userset;background:none;width:168px"></col> <col class="x31" style="mso-width-source:userset;background:none;width:28px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:162px"></col> <col class="x31" style="mso-width-source:userset;background:none;width:63px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:161px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:63px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:166px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:63px"></col> <col span="2" style="width:77px"></col> </colgroup> <tbody> <tr style="mso-height-source:userset;height:28.8pt" id="r0"> <td class="x16" style="height:27.3pt;width:86.25pt">Gesamtbeurteilung</td> <td class="x17" style="width:126pt">Tumorstatus <br />(PT o. LK o. FM)</td> <td rowspan="12" class="x56" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:185.7pt;width:21pt"> <div style="width:253px;margin-top:-134.0px;margin-left:-112px;transform:rotate(-90deg);-o-transform:rotate(-90deg);-webkit-transform:rotate(-90deg);-moz-transform:rotate(-90deg);-ms-transform:rotate(-90deg)"> ODER </div></td> <td class="x18" style="width:121.5pt">Tumorstatus PT (Konsens)</td> <td class="x19" style="width:47.25pt">(optional)</td> <td class="x20" style="width:120.75pt">Tumorstatus LK (Konsens)</td> <td class="x21" style="width:47.25pt">(optional)</td> <td class="x22" style="width:124.5pt">Tumorstatus FM (Konsens)</td> <td class="x23" style="width:47.25pt">(optional)</td> <td class="x24" style="width:57.75pt"></td> <td class="x25" style="width:57.75pt">Beispiel:</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r1"> <td class="x26" style="height:11.7pt">V</td> <td class="x27">K oder leer</td> <td class="x28">K, leer</td> <td class="x29">F, U, X</td> <td class="x30">K, leer</td> <td class="x30">F, U, X</td> <td class="x30">K, leer</td> <td class="x30">F, U, X</td> <td class="x24"></td> <td class="x30">K, leer, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r2"> <td class="x26" style="height:11.7pt">T</td> <td class="x27">T</td> <td class="x40">K, T, N, F, U, X</td> <td class="x29">-</td> <td class="x39">K, T, N, F, U, X</td> <td class="x29">-</td> <td class="x39">K, T, N, F, U, X</td> <td class="x30">M</td> <td class="x24"></td> <td class="x30">T, F, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r3"> <td class="x26" style="height:11.7pt">K</td> <td class="x27">N</td> <td class="x28">K, T, N, U, X</td> <td class="x29">-</td> <td class="x30">K, T, N, U, X</td> <td class="x29">-</td> <td class="x30">K, T, M, N, U, X</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">N, U, X</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r4"> <td class="x26" style="height:11.7pt">P</td> <td class="x41">P, R</td> <td class="x28">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">K, K, P</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r5"> <td class="x26" style="height:11.7pt">D</td> <td class="x27">P</td> <td class="x28">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">P, K, N</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r6"> <td class="x26" style="height:11.7pt">B</td> <td class="x27">-</td> <td class="x40">K, T, N, F, U, X</td> <td class="x29">-</td> <td class="x40">K, T, N, F, U, X</td> <td class="x29">-</td> <td class="x40">K, T, N, F, U, X</td> <td class="x30">M</td> <td class="x24"></td> <td class="x30">U, F, T</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r7"> <td class="x26" style="height:11.7pt">R</td> <td class="x27">-</td> <td class="x28">K, leer</td> <td class="x29">-</td> <td class="x30">K, leer</td> <td class="x29">-</td> <td class="x30">K, leer</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">leer, K, leer</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r8"> <td class="x26" style="height:11.7pt">Y</td> <td class="x27">R</td> <td class="x28">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">K, R, leer</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r9"> <td class="x26" style="height:11.7pt">U</td> <td class="x27">F, U, X, leer</td> <td class="x28">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">U, X, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r10"> <td class="x26" style="height:11.7pt">X</td> <td class="x27">X, leer</td> <td class="x28">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x29">-</td> <td class="x30">-</td> <td class="x30">-</td> <td class="x24"></td> <td class="x30">leer, X, X</td> </tr> <tr style="mso-height-source:userset;height:26.4pt" id="r11"> <td class="x24" style="height:26.4pt"></td> <td class="x29">Min. 1 Merkmal mit der jeweiligen Auspägung befüllt</td> <td colspan="6" class="x53" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext">Kombination aus den Ausprägungen der Merkmale</td> <td class="x24"></td> <td class="x24"></td> </tr> <tr style="display:none"> <td style="width:86.25pt"></td> <td style="width:126pt"></td> <td style="width:21pt"></td> <td style="width:121.5pt"></td> <td style="width:47.25pt"></td> <td style="width:120.75pt"></td> <td style="width:47.25pt"></td> <td style="width:124.5pt"></td> <td style="width:47.25pt"></td> <td style="width:57.75pt"></td> <td style="width:57.75pt"></td> </tr> </tbody></table> </div><div class="cells-worksheet" data-sheet-number="2" data-sheet-name="Nicht plausibel"><table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse;table-layout:fixed;width:876pt"> <colgroup> <col class="x24" style="mso-width-source:userset;background:none;width:115px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:168px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:40px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:162px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:67px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:161px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:67px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:168px"></col> <col class="x24" style="mso-width-source:userset;background:none;width:67px"></col> <col span="2" style="width:77px"></col> </colgroup> <tbody> <tr style="mso-height-source:userset;height:26.4pt" id="r0"> <td class="x32" style="height:24.9pt;width:86.25pt">Gesamtbeurteilung</td> <td class="x17" style="width:126pt">Tumorstatus <br />(PT o. LK o. FM)</td> <td rowspan="17" class="x56" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:249.29999999999993pt;width:30pt"> <div style="width:340px;margin-top:-177.0px;margin-left:-150px;transform:rotate(-90deg);-o-transform:rotate(-90deg);-webkit-transform:rotate(-90deg);-moz-transform:rotate(-90deg);-ms-transform:rotate(-90deg)"> ODER </div></td> <td class="x18" style="width:121.5pt">Tumorstatus PT (Konsens)</td> <td class="x19" style="width:50.25pt">(optional)</td> <td class="x20" style="width:120.75pt">Tumorstatus LK (Konsens)</td> <td class="x21" style="width:50.25pt">(optional)</td> <td class="x22" style="width:126pt">Tumorstatus FM (Konsens)</td> <td class="x23" style="width:50.25pt">(optional)</td> <td class="x24" style="width:57.75pt"></td> <td class="x25" style="width:57.75pt">Beispiel:</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r1"> <td class="x26" style="height:11.7pt">V</td> <td class="x27"></td> <td class="x28">T, P, N, R</td> <td class="x30" style="overflow:hidden">F, U, X, leer</td> <td class="x30">T, P, N, R</td> <td class="x30" style="overflow:hidden">F, U, X, leer</td> <td class="x30">T, P, N, R, M</td> <td class="x30">F, U, X, leer</td> <td class="x24"></td> <td class="x30">T, N, M</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r2"> <td rowspan="3" class="x54" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:38.099999999999994pt">T<br />B</td> <td class="x27">P, R</td> <td class="x28"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x24"></td> <td class="x30">P, K, R</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r3"> <td class="x27"></td> <td class="x28">N</td> <td class="x30"></td> <td class="x30">N</td> <td class="x30"></td> <td class="x30">N</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">N, N, N</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r4"> <td class="x27"></td> <td class="x28">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, K, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r5"> <td rowspan="2" class="x36" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:24.9pt">K</td> <td class="x27"></td> <td class="x28">P, R, F</td> <td class="x30"></td> <td class="x30">P, R, F</td> <td class="x30"></td> <td class="x30">P, R, F</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">P, K, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r6"> <td class="x27"></td> <td class="x28">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, K, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r7"> <td rowspan="3" class="x36" style="border-right:1px solid windowtext;height:38.099999999999994pt">P</td> <td class="x27"></td> <td class="x28">X, leer</td> <td class="x30"></td> <td class="x30">X, leer</td> <td class="x30"></td> <td class="x30">X, leer</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">leer, K, leer</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r8"> <td class="x27"></td> <td class="x28">T, N</td> <td class="x30"></td> <td class="x28">T, N</td> <td class="x30"></td> <td class="x28">T, N</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">T, N, T</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r9"> <td class="x27"></td> <td class="x28">K, R</td> <td class="x30"></td> <td class="x39">K, R</td> <td class="x30"></td> <td class="x39">K, R</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, K, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r10"> <td rowspan="2" class="x36" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext;height:24.9pt">D</td> <td class="x27"></td> <td class="x28">F, X, leer</td> <td class="x30"></td> <td class="x30">F, X, leer</td> <td class="x30"></td> <td class="x30">F, X, leer</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">F, X, X</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r11"> <td class="x27"></td> <td class="x28">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x30">K</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, K, K</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r12"> <td class="x33" style="height:11.7pt">R</td> <td class="x34"></td> <td class="x28">T, P, N, R</td> <td class="x30">F, U</td> <td class="x30">T, P, N, R</td> <td class="x30">F, U</td> <td class="x30">T, P, N, R</td> <td class="x30">F, U</td> <td class="x24"></td> <td class="x30">R, N, T</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r13"> <td class="x35" style="height:11.7pt">Y</td> <td class="x34"></td> <td class="x28">T, N, P</td> <td class="x30"></td> <td class="x30">T, N, P</td> <td class="x30"></td> <td class="x30">T, N, P, M</td> <td class="x30"></td> <td class="x24"></td> <td class="x30">T, N, M</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r14"> <td class="x36" style="height:11.7pt">U</td> <td class="x37">R</td> <td class="x28"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, K, R</td> </tr> <tr style="mso-height-source:userset;height:13.2pt" id="r15"> <td class="x36" style="height:11.7pt">X</td> <td class="x37">K, T, P, N, R, F, U, M</td> <td class="x28"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x30"></td> <td class="x24"></td> <td class="x30">K, T, M</td> </tr> <tr style="mso-height-source:userset;height:26.4pt" id="r16"> <td class="x24" style="height:26.4pt"></td> <td class="x29">Min. 1 Merkmal mit der jeweiligen Auspägung befüllt</td> <td colspan="6" class="x53" style="border-right:1px solid windowtext;border-bottom:1px solid windowtext">Kombination aus den Ausprägungen der Merkmale</td> <td class="x24"></td> <td class="x24"></td> </tr> <tr style="display:none"> <td style="width:86.25pt"></td> <td style="width:126pt"></td> <td style="width:30pt"></td> <td style="width:121.5pt"></td> <td style="width:50.25pt"></td> <td style="width:120.75pt"></td> <td style="width:50.25pt"></td> <td style="width:126pt"></td> <td style="width:50.25pt"></td> <td style="width:57.75pt"></td> <td style="width:57.75pt"></td> </tr> </tbody></table> </div>
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