NSABP Protocol B-43 Worksheet for On-Study Form NCT00769379 Radiation Therapy With or Without Trastuzumab in Treating Women With Ductal Carcinoma In Situ Who Have Undergone Lumpectomy Source Form: NCI FormBuilder:


Versions (4) ▾
  1. 8/27/12
  2. 1/9/15
  3. 7/3/15
  4. 7/3/15
Uploaded on:

July 3, 2015

No DOI assigned. To request one please log in.
Creative Commons BY-NC 3.0 Legacy
Model comments:

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for:

Item comments for:

In order to download data models you must be logged in. Please log in or register for free.

NSABP Protocol B-43 Worksheet for On-Study Form NCT00769379

No Instruction available.

  1. StudyEvent: NSABP Protocol B-43 Worksheet for On-Study Form
    1. No Instruction available.
Tumor assessment
Tumor Laterality
Margins at time of lumpectomy
Was lumpectomy margins re-excised? (If not free,)
Margins after final re-excision
DCIS type
Is DCIS size documented
Unit of Measurement
Is measurement gross or microscopic?
Was axillary staging done
Patient History (at Entry)
Hyperlipidemia requiring medical therapy
Diabetes requiring medical therapy
Hypertension requiring medical therapy

Similar models