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Forms
PPB Registry Parental Consent, HIPAA Authorization, and Information Release
Submitting Pathology for Diagnostic Confirmation or Registry Enrollment
Chemotherapy Schemas and Roadmaps
For Type I PPB, the Registry suggests that physicians send pathology to the Registry for review and, depending on the Type I findings, consider use of VAC chemotherapy.
For Types II and III PPB, the Registry recommends therapy using ifosfamide, doxorubicin, vincristine and actinomycin D (IVADo). Please contact the Registry for specific details including schema and roadmaps.
Chemotherapy Schema – Type I PPB
Type I PPB Treatment Roadmap – Course 1 of 4
Type I PPB Treatment Roadmap – Course 2 of 4
Type I PPB Treatment Roadmap – Course 3 of 4
Type I PPB Treatment Roadmap – Course 4 of 4
Submit Forms To:
The International Pleuropulmonary Blastoma Registry
Pediatric Oncology
Children’s Hospitals and Clinics of Minnesota
2545 Chicago Ave. S., Suite 412
Minneapolis, MN 55404
Phone: 612-813-7115
Fax: 612-813-7108
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