Description:

Mammogram - Reports Form Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05129D06-2D9E-635D-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05129D06-2D9E-635D-E044-0003BA3F9857

Keywords:

Endometrial Neoplasms

Follow-Up Studies

8/27/12 8/27/12 -
1/9/15 1/9/15 - Martin Dugas

Uploaded on:

January 9, 2015

DOI:

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License :

Creative Commons BY-NC 3.0 Legacy

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Endometrial Cancer NCT00265759 Follow-Up - Mammogram - Reports Form - 2427063v1.0

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StudyEvent: Mammogram - Reports Form
1. No Instruction available.

Header Module

Visit

Prior To Registration (Prior to Registration)

Within 14 Days Prior To Intervention (Within 14 days prior to intervention)

Day 1 (Day 1)

Week 4 (Week 4)

11 more items in the detailed view.

Patient ID

Institution ID

Patient Initials

Institution

Header

CTSU reports

Mammogram Report (Mammogram Report)

Assessment Date

Footer

Completed by

Date Form Completed

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