Description:

ANHL01P1: Institutional Pathology Form [reload] NCT00057811 Rituximab, Rasburicase, and Combination Chemotherapy in Treating Young Patients With Newly Diagnosed Advanced B-Cell Leukemia or Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BA57175F-244D-0585-E034-0003BA12F5E7

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BA57175F-244D-0585-E034-0003BA12F5E7
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Versions (4)
  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 6/27/15 6/27/15 -
Uploaded on:

June 27, 2015

DOI:
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License :
Creative Commons BY-NC 3.0 Legacy
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ANHL01P1: Institutional Pathology Form [reload] NCT00057811

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1 forms  
  1. StudyEvent: ANHL01P1: Institutional Pathology Form [reload]
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Header
Pathology evaluation
Time sample obtained (One must be chosen)
3 more items in the detailed view.
Method for obtaining tissue samples (Required field)
13 more items in the detailed view.
Source of tissue samples (Required field)
6 more items in the detailed view.
Pathologic diagnosis (Required field)
3 more items in the detailed view.
Immunophenotype (One must be chosen)
3 more items in the detailed view.
Results From Fresh Or Frozen Tissue
Antigen Type
50 more items in the detailed view.
Results from paraffin embedded tissue (One must be chosen)
TDT Method (One must be chosen)
5 more items in the detailed view.
Results From Paraffin Embedded Tissue
SLIDE/TISSUE SUBMISSION: For Central Review? (One must be chosen)
Is any frozen tissue available? (One must be chosen)
Fixative used (BIOPSY TISSUE PROCESSING DETAILS)
Number of hours in fixative before processing
Is there evidence of clonality by gene rearrangement? (Required field)
Ccrr Module For Anhl01p1: Institutional Pathology Form [reload]
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