Description:

CALGB 40503 TISSUE TRACKING FORM NCT00601900 Tamoxifen or Letrozole With or Without Bevacizumab in Treating Women With Stage III or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=23F62179-72EA-407A-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=23F62179-72EA-407A-E044-0003BA3F9857
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Versions (4)
  1. 8/26/12 8/26/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/18/15 6/18/15 -
  4. 9/20/21 9/20/21 -
Uploaded on:

September 20, 2021

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Creative Commons BY-NC 3.0 Legacy
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CALGB 40503 TISSUE TRACKING FORM NCT00601900

English
Details

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink.

1 forms  
Header
Are data amended
Patient demographics
Pathology/Biopsy
Does institutional pathology report accompany this form
Does specimen accompany this form
Tissue pathology (Mark one with an X.)
Method of extraction (Mark one with an X.)
3 more items in the detailed view.
Type of specimen submitted (Mark one with an X.)
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