Description:

CALGB: 49907 ON-STUDY FORM Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D7D2E-A557-3317-E034-080020C9C0E0

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D7D2E-A557-3317-E034-080020C9C0E0

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  1. 12/18/14
Uploaded on:

December 18, 2014

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License:
Creative Commons BY-NC 3.0 Legacy
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ON-STUDY FORM (CALGB 49907)

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  1. StudyEvent: CALGB: 49907 ON-STUDY FORM
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Header
Amended data?
Surgical Procedures
Most extensive primary surgery (mark one with an X)
Sentinel node biopsy?
Sentinel node biopsy results (per protocol)
Was axillary dissection performed?
Laboratory
Pathology
Tumor laterality (mark one with an X)
Receptor status, ER (If measured in fmols/mg cytosol protein >=10 is positive. If other measures are used apply institutional standards; borderline results should be reported as positive)
Receptor status, PgR
Histologic grade (combined histologic grade is used according to SRE/Elston classification)
Prior breast cancer prevention therapy?
If Yes, what type (prior breast cancer prevention therapy) (mark all that apply with an X)