Description:

NSABP PROTOCOL B-35 PATHOLOGIST'S REPORT FORM Anastrozole or Tamoxifen in Treating Postmenopausal Women With Ductal Carcinoma in Situ Who Are Undergoing Lumpectomy and Radiation Therapy NCT00053898 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A01C3BB9-FE93-4CD3-E034-080020C9C0E0

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A01C3BB9-FE93-4CD3-E034-080020C9C0E0

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Versions (2) ▾
  1. 8/26/12
  2. 3/22/15
Uploaded on:

March 22, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Breast cancer NCT00053898

Form PRF (04-30-2002) This form is to be completed by the pathologist and submitted to the NSABP Biostatistical Center within 3 months of randomization. Please mail Form PRF separately from the slides and blocks.

Header
Are data amended? (If Yes, circle the amended items in red.)
Pathology report
cm
Is measurement gross or microscopic? (mark one)
Type DCIS (mark one)
Growth Patterns (mark all that apply)
Dominant Growth Pattern (mark only one)
%
Nuclear Grade (by SBR criteria; mark highest grade)
Microcalcifications (mark one)
Margins of DCIS Resection (after re-excision, if done mark one)