Descrizione:

TAILORx Second Primary Form Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A3BB68BA-CCE2-8DF9-E040-BB89AD43631B

collegamento:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A3BB68BA-CCE2-8DF9-E040-BB89AD43631B

Keywords:

Follow-Up Studies

26/08/12 26/08/12 -
09/01/15 09/01/15 - Martin Dugas

Caricato su:

9 gennaio 2015

DOI:

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Licenza :

Creative Commons BY-NC 3.0 Legacy

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Breast Cancer NCT00310180 Follow-Up - TAILORx Second Primary Form - 3236572v1.0

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StudyEvent: TAILORx Second Primary Form
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Header

ECOG Protocol Number

ECOG Patient ID

DCI Name

Registration Step

Reporting Period

Second Primary Cancer (Second primary)

Completed By Central Lab

Date of Diagnosis of Second Primary Cancer (mm/dd/yyyy)

Site of Second Primary Cancer

Acute Lymphocytic Leukemia (Acute Lymphocytic Leukemia (ALL))

Acute Myelogenous Leukemia (Acute Myelogenous Leukemia (AML))

Adrenal (Adrenal)

Aids-related Lymphoma (AIDS-related Lymphoma)

50 Più elementi della vista dettagliata

Include information on histologic subtype (s Please attach copies of any corroborating pathology reports.)

Comments

Investigator Signature

Investigator Signature Date

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