Description:

E2108 End-of-Study Form Early Surgery or Standard Palliative Therapy in Treating Patients With Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8DF34112-9349-8BCA-E040-BB89AD4347FD

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8DF34112-9349-8BCA-E040-BB89AD4347FD

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Versions (2) ▾
  1. 8/26/12
  2. 1/9/15
Uploaded on:

January 9, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT01242800 Off Treatment - E2108 End-of-Study Form - 3128917v1.0

INSTRUCTIONS : At the time of death or withdrawal, complete this form and submit original to the ECOG Coordinating Center. Keep a copy for your files

Header
Reporting Period
Unnamed2
Unnamed4
Vital Status
Patient's Vital Status
Primary Cause of Death (if applicable)
Section I
Reason Treatment Ended (this step)
Comments

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