Prostate Cancer - Pathology Form - Biopsy

  1. 3/6/12 3/6/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 1/9/15 1/9/15 - Martin Dugas
Uploaded on:

January 9, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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  1. StudyEvent: Prostate Cancer - Pathology Form - Biopsy
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Crf Header
Brain: Form Administration
Are data amended (If data are amended, please circle in red when using paper form)
Pathology: Prostatic Biopsy
Does analysis of tissue show evidence of therapeutic effects?
Type of Therapy (If yes.)
Type of Procedure
Tumor Location, Side
Tumor Location, Area
Tumor Location, Zone
PIN Ind, High Grade
Extraprostatic Extension Ind
Extraprostatic Extension Type
Extraprostatic Extension Laterality
Pathology: Disease Assessment - Biopsy
Histologic Type
Histologic Type, Variant

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