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Multiple Myeloma and Plasma Cell Neoplasm null Pre-Study - S0522 Prestudy Form - 2459879v1.0 - S0522 Prestudy Form

- 20-09-21 - 1 Formulier, 6 Itemgroepen, 41 Data-elementen, 1 Taal
Itemgroepen: Header, PATIENT AND DISEASE DESCRIPTION, Laboratory Values, DISEASE HISTORY AND DIAGNOSIS, PRIOR TREATMENT RELATED TO THIS CANCER, Comments
S0522 Prestudy Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0F232910-2A2F-5CD7-E044-0003BA3F9857

Multiple Myeloma and Plasma Cell Neoplasm NCT00644228 Pre-Study - Southwest Oncology Group S0777 Prestudy Form - 2656421v1.0 - Southwest Oncology Group S0777 Prestudy Form

- 20-09-21 - 1 Formulier, 8 Itemgroepen, 58 Data-elementen, 1 Taal
Itemgroepen: Header, Eligibility Verification:, Patient and Disease Description, Laboratory Values, Laboratory Values, continued, Disease History and Diagnosis, Prior Treatment Related To This Cancer, Comments
Southwest Oncology Group S0777 Prestudy Form Lenalidomide and Dexamethasone With or Without Bortezomib in Treating Patients With Previously Untreated Multiple Myeloma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=33319F8E-13F8-4E7C-E044-0003BA3F9857

ECOG Second Primary Form NCT01169337

- 16-06-15 - 1 Formulier, 4 Itemgroepen, 19 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Second primary cancer assessment, Comments
ECOG Second Primary Form NCT01169337 Lenalidomide or Observation in Treating Patients With Asymptomatic High-Risk Smoldering Multiple Myeloma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8B34F8AB-6B35-638A-E040-BB89AD4311DF

E2905 Second Primary Form NCT00843882

- 16-06-15 - 1 Formulier, 5 Itemgroepen, 22 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Data amendment, Second primary cancer assessment, Comments
E2905 Second Primary Form NCT00843882 Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0EAAC99D-1E15-00B1-E044-0003BA3F9857

ADVL0212: Prior Therapy Worksheet NCT00053963

- 05-07-15 - 1 Formulier, 6 Itemgroepen, 12 Data-elementen, 1 Taal
Itemgroepen: Header, Anti-cancer therapy, Type of Prior Therapy, Comments, General Validations, CCRR MODULE
ADVL0212: Prior Therapy Worksheet NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EADAE4-318A-307A-E034-0003BA12F5E7

AMC-076 HPV On-Study Form (ONS) NCT01164722

- 08-07-15 - 1 Formulier, 4 Itemgroepen, 10 Data-elementen, 1 Taal
Itemgroepen: Header Module, HIV Status, Condyloma Status, Comments
AMC-076 HPV On-Study Form (ONS) NCT01164722 Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A80C062E-17BA-F42E-E040-BB89AD432F38

AMC-046 Screen Failure Form NCT00550589

- 03-06-15 - 1 Formulier, 3 Itemgroepen, 8 Data-elementen, 1 Taal
Itemgroepen: Biopsy/Cytology Status, Screen Failure, Comments
AMC-046 Screen Failure Form Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3BEAAEF0-A692-3FA8-E044-0003BA3F9857 NCT00550589

Swedish National Quality Registry for Lymphoma (Nationellt kvalitetsregister för lymfom) - Registration form and cancer report (Anmälningsblankett och canceranmälan)

- 15-03-21 - 1 Formulier, 5 Itemgroepen, 82 Data-elementen, 1 Taal
Itemgroepen: Administrative Data, Diagnosis, Primary Treatment, Disease Stage, Prognostic factors
Part of Swedish National Quality Registry for Blood Cancer source: https://www.cancercentrum.se/samverkan/cancerdiagnoser/blod-lymfom-myelom/lymfom-lymfkortelcancer/kvalitetsregister/ Leader of Registry: Karin Ekström Smedby, Karolinska Universitetssjukhuset Solna Chairman: Mats Jerkeman, Skånes universitetssjukhus, mats.jerkeman@skane.se This Registration form is valid from 2012-03-15. The form must be completed and submitted shortly after completion of the investigation to the Regional Cancer Center (Regionalt Cancercentrum).

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