Description:

NCT00103181 NSABP Protocol B-39 Radiation Therapy Report for Patients Randomized to WBI (Group 1 Patients Only) Radiation Therapy in Treating Women Who Have Undergone Surgery For Ductal Carcinoma In Situ or Stage I or Stage II Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E74B2A88-D6F8-68E8-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E74B2A88-D6F8-68E8-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/26/12
  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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NCT00103181 NSABP Protocol B-39 Radiation Therapy Report for Patients Randomized to PBI (Group 2 Patients Only)

This form is required for all patients who were randomized to WBI (Group 1) -- even those who did not start WBI.

  1. StudyEvent: NSABP Protocol B-39 Radiation Therapy Report for Patients Randomized to WBI (Group 1 Patients Only)
    1. This form is required for all patients who were randomized to WBI (Group 1) -- even those who did not start WBI.
Header
Are data amended (check box if yes, and circle amended items)
Radiation Therapy
Type of Radiation Therapy Received (prior to treatment failure or second primary cancer)
Side Irradiated
Whole Breast Prior To Boost
Was a boost given? (If yes, complete this section.)
Unscheduled Interruptions
Were there any unscheduled interruptions in radiation therapy
Was RT interruption possibly, probably, or definitely due to RT toxicity
Reason Treatment Ended
Dosimetry technique used for treatment planning

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