Description:

CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM NCT00770809 Paclitaxel and Trastuzumab With or Without Lapatinib in Treating Patients With Stage II or Stage III Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3A963C4E-69F2-4844-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3A963C4E-69F2-4844-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 6/18/15
Uploaded on:

June 18, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB: 40601 PRE-NEOADJUVANT CHEMOTHERAPY SURGICAL EVALUATION FORM NCT00770809

INSTRUCTIONS: Complete all information on this form. Submit within one week of registration along with the On-Study Form.

Header
Amended Data
Patient demographics
Breast Conserving Therapy
Was the patient's clinical breast exam normal?
Is the patient currently(before receiving neoadjuvant chemotherapy) a candidate for breast conserving treatment
Reason not a candidate (If no,)
Absolute contraindication to radiation therapy
Axillary Node
Was the patient's pre-neoadjuvent chemotherapy treatment axillary nodal status evaluated?
Method of Evaluation
Clinical N Stage
Results
Was blue dye used
Was technetium used
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