Description:

Z1041: Extended Follow-up Form Combination Chemotherapy and Paclitaxel Plus Trastuzumab in Treating Women With Palpable Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=211CBE88-1531-5AB5-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=211CBE88-1531-5AB5-E044-0003BA3F9857

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

January 9, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00513292 Follow-Up - Z1041: Extended Follow-up Form - 2533635v1.0

No Instruction available.

  1. StudyEvent: Z1041: Extended Follow-up Form
    1. No Instruction available.
Header Module
Visit
Header
Vital status
Primary Cause of Death (If deceased,)
Was imaging done to assess for recurrence
Notice Of First Recurrence/progression
Has the patient developed a first progression (or relapse) that has not been previously reported?
First recurrence/progression
Site of first recurrence/progression
Notice Of New Primary
Has a new primary cancer or MDS been diagnosed that has not been previously reported?
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