Description:

Z1031: Breast Surgery Report Form NCT00265759 Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FAB0D6CB-D9B7-4FC5-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FAB0D6CB-D9B7-4FC5-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 9/19/12
  2. 1/9/15
  3. 6/26/15
Uploaded on:

June 26, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Z1031: Breast Surgery Report Form NCT00265759

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  1. StudyEvent: Z1031: Breast Surgery Report Form
    1. No Instruction available.
Patient demographics
Visit
Surgery assessment
Was primary breast surgery performed
Type of procedure recommended by surgeon to patient
Type of procedure performed
Primary reason for type of procedure
Amount of disease present at surgery (Tumor Pathology if resected)
Tumor Pathology (if Resected)
cm
cm
Margin Status (mark one)
Histologic Grade

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