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Breast Cancer NCT00433589 Treatment - Endocrine therapy - 2498727v1.0 - Endocrine therapy

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 14 Eléments de données, 1 Langue
Groupes Item: Header, Endocrine therapy, Footer Module
Endocrine therapy Genetic Testing or Clinical Assessment in Determining the Need for Chemotherapy in Women With Breast Cancer That Involves No More Than 3 Lymph Nodes Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=19677A9A-FFBD-2E6F-E044-0003BA3F9857

GOG-0258 Surgical Reporting Form (C) NCT00942357

- 03/07/2015 - 1 Formulaire, 3 Groupes Item, 21 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, Surgery assessment, Comments
GOG-0258 Surgical Reporting Form (C) NCT00942357 Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E86D7-D919-D7C8-E040-BB89AD4321CC

Z1031: Adjuvant Therapy Form NCT00265759

- 26/06/2015 - 1 Formulaire, 4 Groupes Item, 15 Eléments de données, 1 Langue
Groupes Item: Patient demographics, Adjuvant endocrine therapy, Adjuvant Chemotherapy Therapy, Adjuvant Radiation Therapy
Z1031: Adjuvant Therapy Form NCT00265759 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=FA5D4EEE-CAAF-6E5D-E034-0003BA3F9857

Surgical Reporting Form, GOG-0209, Form C NCT00063999

- 21/06/2015 - 1 Formulaire, 5 Groupes Item, 21 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, Gynecologic Surgical Procedure, Miscellaneous Assessment, Summary of operative findings, Comments
Surgical Reporting Form, GOG-0209, Form C NCT00063999 Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC6BA74-781F-740A-E044-0003BA3F9857

Endometrial Cancer NCT00942357 - Pre-Study - GOG-0258 Pre-Treatment Summary Form (DR) 2843236_v1_0 - GOG-0258 Pre-Treatment Summary Form (DR)

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 24 Eléments de données, 2 Langues
Groupes Item: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS
GOG-0258 Pre-Treatment Summary Form (DR) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E6D14-3F06-95F3-E040-BB89AD4357FF

Endometrial Cancer NCT00942357 Treatment - GOG-0258 Vaginal HDR Intracavitary Radiation Oncology Form (HDRV) - 2843783v1.0 - GOG-0258 Vaginal HDR Intracavitary Radiation Oncology Form (HDRV)

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 33 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, RADIATION DESCRIPTION, RADIATION DESCRIPTION2, MAGNIFICATION FACTOR, CONTACT INFORMATION, COMMENTS
GOG-0258 Vaginal HDR Intracavitary Radiation Oncology Form (HDRV) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E86D7-D829-D7C8-E040-BB89AD4321CC

Endometrial Cancer NCT00942357 Treatment - GOG-0258 Vaginal LDR Intracavitary Radiation Oncology Form (LDRV) - 2843844v1.0 - GOG-0258 Vaginal LDR Intracavitary Radiation Oncology Form (LDRV)

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 34 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, RADIATION DESCRIPTION, RADIATION DESCRIPTION2, MAGNIFICATION FACTOR, CONTACT INFORMATION, COMMENTS
GOG-0258 Vaginal LDR Intracavitary Radiation Oncology Form (LDRV) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E86D7-D8A5-D7C8-E040-BB89AD4321CC

Endometrial Cancer NCT00807768 Treatment - GOG-0249 Vaginal HDR Intracavitary Radiation Oncology Form - 2759637v1.0 - GOG-0249 Vaginal HDR Intracavitary Radiation Oncology Form

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 33 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, RADIATION DESCRIPTION, RADIATION DESCRIPTION2, MAGNIFICATION FACTOR, CONTACT INFORMATION, COMMENTS
GOG-0249 Vaginal HDR Intracavitary Radiation Oncology Form Pelvic Radiation Therapy or Vaginal Implant Radiation Therapy, Paclitaxel, and Carboplatin in Treating Patients With High-Risk Stage I or Stage II Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4FB4E3CF-D77D-4890-E044-0003BA3F9857

Endometrial Cancer NCT00807768 Treatment - GOG-0249 Vaginal LDR Intracavitary Radiation Oncology Form - 2759711v1.0 - GOG-0249 Vaginal LDR Intracavitary Radiation Oncology Form

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 34 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, RADIATION DESCRIPTION, RADIATION DESCRIPTION2, MAGNIFICATION FACTOR, CONTACT INFORMATION, COMMENTS
GOG-0249 Vaginal LDR Intracavitary Radiation Oncology Form Pelvic Radiation Therapy or Vaginal Implant Radiation Therapy, Paclitaxel, and Carboplatin in Treating Patients With High-Risk Stage I or Stage II Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4FB4ED77-E1A6-4A26-E044-0003BA3F9857

Cycle Dose Drug Form D2R Endometrial Cancer (NCT00063999)

- 09/01/2015 - 1 Formulaire, 2 Groupes Item, 39 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, TREATMENT CYCLE AND MODIFICATION
Cycle Dose Drug Form, GOG-0209, Form D2R Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer NCT00063999 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2402FA9-5BBE-0F62-E034-0003BA12F5E7

Endometrial Cancer NCT00063999 Treatment - Treatment Completion Form, GOG-0209, Form Q0 - 2077501v3.0 - Treatment Completion Form, GOG-0209, Form Q0

- 09/01/2015 - 1 Formulaire, 5 Groupes Item, 20 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, TREATMENT SCHEDULE, OFF-TREATMENT REASON, FOOTER MODULE, CCRR MODULE
Treatment Completion Form, GOG-0209, Form Q0 Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2403C63-772C-0F6D-E034-0003BA12F5E7

Endometrial Cancer NCT00942357 Treatment - Gynecologic Oncology Group Radiation Treatment Form (Form G) - 2844087v1.0 - Gynecologic Oncology Group Radiation Treatment Form (Form G)

- 09/01/2015 - 1 Formulaire, 4 Groupes Item, 26 Eléments de données, 1 Langue
Groupes Item: HEADER MODULE, RADIATION LOCATION, RADIATION TREATMENT SUMMARY, COMMENTS
Gynecologic Oncology Group Radiation Treatment Form (Form G) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E86D7-DA90-D7C8-E040-BB89AD4321CC

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