CALGB: TRACKING FORM (TISSUE BLOCKS) Four Versus Six Cycles of Cyclophosphamide/Doxorubicin or Paclitaxel in Adjuvant Breast Cancer Source Form: NCI FormBuilder:

  1. 8/26/12 8/26/12 -
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Uploaded on:

August 26, 2012

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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00041119 Pathology - CALGB: TRACKING FORM (TISSUE BLOCKS) - 2038962v3.0

No samples should be submitted without an accompanying form. If a specimen will not be submitted, specify the reason below and submit the form as stated above.

Amended data?
Do tissue block/slides accompany this form? (If No,)
Is patient enrolled in a correlative science study? (If Yes, give the)
Tissue pathology (mark one with an X)
Method of extraction (mark one with an X)
Ccrr Module For Calgb: Tracking Form (tissue Blocks)

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