Description:

NSABP Protocol B-40 - Surgery/Pathology Report Form NCT00408408 A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Without Bevacizumab and Correlative Science Studies Attempting to Identify Predictors of High Likelihood for pCR With Each of the Regimens Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1B254729-F8DC-4048-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1B254729-F8DC-4048-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 12/18/14
  2. 1/9/15
  3. 7/5/15
Uploaded on:

July 5, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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NSABP Protocol B-40 - Surgery/Pathology Report Form NCT00408408

Submit every 6 months from date of randomization for the first 5 years; yearly thereafter, and when a protocol event occurs. Fax Form F to 412-622-2111

Header
Form completed by
Are data amended
Breast
Was primary breast surgery performed
Type of procedure performed (provide pathology report)
Was there any histologic evidence of invasive tumor cells in the surgical breast specimen
Was there any histologic evidence of DCIS in the surgical breast specimen
Was HER-2/neu status determined (from surgical breast specimen)
HER-2/neu status (if yes)
Was receptor status determined (ER or PgRfrom surgical breast specimen?)
Receptor Status, ER (If yes,)
Receptor Status, PgR
Axilla
Was patient nodal status determined
Was FNA or core biopsy or sentinel node biopsy of axillary nodes performed before initiation of therapy
Was the cytology/biopsy positive (If yes,)
Axillary Staging Method (provide applicable pathology reports)

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