Description:

NSABP PROTOCOL B-36: ON-STUDY FORM NCT00087178 Comparison of Two Combination Chemotherapy Regimens in Treating Women With Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C8932DDB-5B56-0031-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C8932DDB-5B56-0031-E034-0003BA12F5E7

Keywords:
Versions (3) ▾
  1. 8/26/12
  2. 1/9/15
  3. 6/16/15
Uploaded on:

June 16, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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NSABP PROTOCOL B-36: ON-STUDY FORM NCT00087178

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  1. StudyEvent: NSABP PROTOCOL B-36: ON-STUDY FORM
    1. No Instruction available.
Header
Are data amended?
Surgery
Most Extensive Primary Surgery
Were margins histologically free of invasive tumor and DCIS? (If partial mastectomy/lumpectomy/excisional biopsy:)
Surgical Procedures
Core Needle Biopsy (1.)
Excisional Biopsy or Lumpectomy (2.)
Resection of Lumpectomy Margins (3.)
Total Mastectomy (4.)
Sentinel Node Biopsy (5.)
Axillary Dissection or Axillary Sampling (6.)
Patient status
Menopausal Status (per protocol criteria)
Disease Description
Tumor Laterality
ER (Receptor Status)
PgR (Receptor Status)
Histologic Grade (Use combined histologic grade SBR/Elston classification)
Ccrr Module For Nsabp Protocol B-36: On-study Form

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