BREAST CANCER IN PRIMARY CARE - University of Chicago

CANCER DIAGNOSIS. Diagnosis: (see list #2) Date of Diagnosis: ... SURGERY. Yes No If yes, complete chart below. Date Procedure Site (if applicable) Laterality (if applicable) Surgeon/Institution ... specify: Reproductive - Female Breast tissue hypoplasia Uterine vascular insufficiency Adverse pregnancy outcome Pregnancy complications Delivery ... ................
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