Pathology Form

Pathologists may use the following form to obtain confirmation of diagnosis or to inform the Registry of a new patient and submit slides for central review. The Registry will then be in contact with the pathologist, clinicians, or family to obtain family authorization for collecting patient information.

Submit forms and path materials to:
The International Pleuropulmonary Blastoma Registry
910 East 26th Street
Suite 40-LL08
Minneapolis, MN 55404 USA