For Pathologists

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 authorization for collecting patient information.

  • Please contact the Registry to retrieve the specimen transmittal form

Submit forms and path materials to:
The International Pleuropulmonary Blastoma / DICER1 Registry
910 East 26th Street
Suite 40-LL08
Minneapolis, MN 55404 USA