ID
1108
Description
Surgery Form (Form 24-C) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B0E98146-9F96-636E-E034-0003BA12F5E7
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Versions (2)
- 27/08/2012 27/08/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
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27 août 2012
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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00659373 Treatment - Surgery Form (Form 24-C) - 2074148v3.0
SURGERY FORM (Form 24-C) Instructions: This form is to be completed and submitted one month after final surgery. Mark your selection with an ?X? in the appropriate box(es). Use minus one (-1) to indicate that an answer is unknown, unobtainable, or not done.
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SURGERY FORM (Form 24-C) Instructions: This form is to be completed and submitted one month after final surgery. Mark your selection with an ?X? in the appropriate box(es). Use minus one (-1) to indicate that an answer is unknown, unobtainable, or not done.
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