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  • Mdt Form 17-11-2021 النسخة الخاصة بالجامعاتv2 Ba

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    Lola Woo
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    2 views1 page

    Mdt Form 17-11-2021 النسخة الخاصة بالجامعاتv2 Ba

    Uploaded by

    Lola Woo

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MDT FORM

    Name
    National ID

    File Number

    Age
    Co
    morbidity
    Previous breast
    or
    other surgery

    Clinical data
    Bx : Breast Imaging :

    IHC : Mets Workup :


    ER :
    PR :
    Her 2 neu :
    Ki67 :
    T N M
    COMMENT :

    MDT OUTCOME & PLAN

    SIGNATURE
    MEDICAL ONCOLOGY SURGERY RADIOLOGY PATHOLOGY

    Checklist.W.H-D&T.C.MDT.04.07-11-2021
    N.B: 1 Form per each MDT

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