Comparison of Operative to Monitoring and Endocrine Therapy (COMET) Trial For Low Risk DCIS

Description

This study looks at the risks and benefits of active surveillance (AS) compared to guideline concordant care (GCC) in the setting of a pragmatic prospective randomized trial for low risk DCIS. Our overarching hypothesis is that management of low-risk Ductal Carcinoma in Situ (DCIS) using an AS approach does not yield inferior cancer or quality of life outcomes compared to GCC.

Study Start Date

February, 22 2017

Estimated Completion Date

July 2021

Interventions

  • Other: Guideline Concordant Care
  • Other: Active Surveillance

Study ID

Alliance Foundation Trials, LLC. -- AFT-25

Status

Recruiting

Trial ID

NCT02926911

Study Type

Interventional

Trial Phase

N/A

Enrollment Quota

1200

Sponsor

Alliance Foundation Trials, LLC.

Inclusion Criteria

  • New diagnosis of DCIS without invasive cancer. Unilateral, bilateral, unifocal, or multifocal DCIS will be eligible, provided that all DCIS meets eligibility criteria
  • No prior history of breast cancer in either breast
  • Age ? 40 at time of DCIS diagnosis
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • No contraindication for surgery
  • Pathologic diagnosis of DCIS within 90 days of registration:
  • Histology slides reviewed and diagnosis confirmed by concordance among two clinical pathologists
  • Grade I/II DCIS without invasion or microinvasion
  • Diagnosis confirmed on core needle biopsy or surgical biopsy within 90 days of registration
  • Estrogen Receptor (ER)(+) and/or Progesterone Receptor (PR)(+) by ImmunoHistoChemistry (IHC) (? 10% staining or Allred score ? 4)
  • Human Epidermal Growth Factor Receptor 2 (HER2) 0, 1+, or 2+ by IHC if HER2 testing is performed
  • Absence of comedo necrosis
  • Required initial laboratory values:
  • Absolute Neutrophil Count (ANC) ? 1,000/ul
  • platelet count ? 100,000/ul
  • serum creatinine ? 1.7 mg/dL
  • serum glucose ? 2.5 x Upper Limit of Normal (ULN)
  • serum estradiol assay < 20 pg/ml (required for patients <55 years of age and *less than one year of amenorrhea)
  • At least two sites of biopsy for those cases where mammographic extent of calcifications exceeds 4 cm, both sites fulfilling eligibility criteria for DCIS without invasion or microinvasion
  • Amenable to follow up examinations
  • Ability to read, understand and evaluate study materials and willingness to sign a written informed consent document
  • Reads and speaks Spanish or English, or availability of an appropriate professional interpreter at enrollment

Exclusion Criteria

  • Male DCIS
  • Previous or concurrent diagnosis of invasive breast cancer, including microinvasion
  • Mass on examination or imaging at site of DCIS prior to biopsy yielding diagnosis of DCIS
  • Bloody nipple discharge
  • Mammographic finding of Breast Imaging Reporting and Data System (BIRADS) 4 or greater at site other than that of known DCIS within 6 months of registration
  • Use of investigational cancer agents within 6 weeks prior to diagnosis
  • Any serious and/or unstable pre-existing medical, psychiatric, or other existing condition that would prevent compliance with the trial or consent process
  • Pregnancy
  • Documented history of prior tamoxifen, aromatase inhibitor or raloxifene

Gender

Female

Ages

40 Years to 99 Years

Accepts Healthy Volunteers

No

Study Locations and Contact Information (365)

Study Location Distance Name Phone Email
DanaFarber Cancer Institute - Boston, Massachusetts 2.4 miles Mehra Golshan MD None None
DanaFarber Cancer Institute - Boston, Massachusetts 2.4 miles Mehra Golshan MD None None
DanaFarber Cancer Institute - Boston, Massachusetts 2.4 miles Mehra Golshan MD None None
DanaFarber Cancer Institute - Boston, Massachusetts 2.4 miles Mehra Golshan MD None None
DanaFarber Cancer Institute - Boston, Massachusetts 2.4 miles Mehra Golshan MD None None
New Hampshire Oncology Hematology PA - Hooksett, New Hampshire 51.2 miles Douglas Weckstein MD None None
New Hampshire Oncology Hematology PA - Hooksett, New Hampshire 51.2 miles Douglas Weckstein MD None None
New Hampshire Oncology Hematology PA - Hooksett, New Hampshire 51.2 miles Douglas Weckstein MD None None
New Hampshire Oncology Hematology PA - Hooksett, New Hampshire 51.2 miles Douglas Weckstein MD None None
New Hampshire Oncology Hematology PA - Hooksett, New Hampshire 51.2 miles Douglas Weckstein MD None None
Maine Center for Cancer MedicineScarborough - Scarborough, Maine 92.4 miles Chiara Battelli MD None None
Maine Center for Cancer MedicineScarborough - Scarborough, Maine 92.4 miles Chiara Battelli MD None None
Maine Center for Cancer MedicineScarborough - Scarborough, Maine 92.4 miles Chiara Battelli MD None None
Maine Center for Cancer MedicineScarborough - Scarborough, Maine 92.4 miles Chiara Battelli MD None None
Maine Center for Cancer MedicineScarborough - Scarborough, Maine 92.4 miles Chiara Battelli MD None None
Stony Brook Medical Center - Stony Brook, New York 145.7 miles Brain OHea MD None None
Stony Brook Medical Center - Stony Brook, New York 145.7 miles Brain OHea MD None None
Stony Brook Medical Center - Stony Brook, New York 145.7 miles Brain OHea MD None None
Stony Brook Medical Center - Stony Brook, New York 145.7 miles Brain OHea MD None None
Stony Brook Medical Center - Stony Brook, New York 145.7 miles Brain OHea MD None None
Hackensack University Medical Center - Hackensack, New Jersey 183.7 miles Tara Balija MD None None
Hackensack University Medical Center - Hackensack, New Jersey 183.7 miles Tara Balija MD None None
Hackensack University Medical Center - Hackensack, New Jersey 183.7 miles Tara Balija MD None None
Hackensack University Medical Center - Hackensack, New Jersey 183.7 miles Tara Balija MD None None
Hackensack University Medical Center - Hackensack, New Jersey 183.7 miles Tara Balija MD None None
State University of New York Upstate Medical University - Syracuse, New York 259.8 miles Lisa Lai MD None None
State University of New York Upstate Medical University - Syracuse, New York 259.8 miles Lisa Lai MD None None
State University of New York Upstate Medical University - Syracuse, New York 259.8 miles Lisa Lai MD None None
State University of New York Upstate Medical University - Syracuse, New York 259.8 miles Lisa Lai MD None None
State University of New York Upstate Medical University - Syracuse, New York 259.8 miles Lisa Lai MD None None
Anne Arundel Medical Center - Annapolis, Maryland 366.9 miles Wen Liang MD None None
Anne Arundel Medical Center - Annapolis, Maryland 366.9 miles Wen Liang MD None None
Anne Arundel Medical Center - Annapolis, Maryland 366.9 miles Wen Liang MD None None
Anne Arundel Medical Center - Annapolis, Maryland 366.9 miles Wen Liang MD None None
Anne Arundel Medical Center - Annapolis, Maryland 366.9 miles Wen Liang MD None None
MedStar Washington Hospital Center - Washington, D.C., District of Columbia 391.7 miles Marc Boisvert MD None None
MedStar Washington Hospital Center - Washington, D.C., District of Columbia 391.7 miles Marc Boisvert MD None None
MedStar Washington Hospital Center - Washington, D.C., District of Columbia 391.7 miles Marc Boisvert MD None None
MedStar Washington Hospital Center - Washington, D.C., District of Columbia 391.7 miles Marc Boisvert MD None None
MedStar Washington Hospital Center - Washington, D.C., District of Columbia 391.7 miles Marc Boisvert MD None None
MageeWomens Hospital of UPMC - Pittsburgh, Pennsylvania 478.5 miles Priscilla McAuliffe MD None None
MageeWomens Hospital of UPMC - Pittsburgh, Pennsylvania 478.5 miles Priscilla McAuliffe MD None None
MageeWomens Hospital of UPMC - Pittsburgh, Pennsylvania 478.5 miles Priscilla McAuliffe MD None None
MageeWomens Hospital of UPMC - Pittsburgh, Pennsylvania 478.5 miles Priscilla McAuliffe MD None None
MageeWomens Hospital of UPMC - Pittsburgh, Pennsylvania 478.5 miles Priscilla McAuliffe MD None None
East Carolina University - Greenville, North Carolina 577.7 miles Jan Wong MD None None
East Carolina University - Greenville, North Carolina 577.7 miles Jan Wong MD None None
East Carolina University - Greenville, North Carolina 577.7 miles Jan Wong MD None None
East Carolina University - Greenville, North Carolina 577.7 miles Jan Wong MD None None
East Carolina University - Greenville, North Carolina 577.7 miles Jan Wong MD None None
Marietta Memorial Hospital - Marietta, Ohio 578.4 miles Thomas Moore MD None None
Marietta Memorial Hospital - Marietta, Ohio 578.4 miles Thomas Moore MD None None
Marietta Memorial Hospital - Marietta, Ohio 578.4 miles Thomas Moore MD None None
Marietta Memorial Hospital - Marietta, Ohio 578.4 miles Thomas Moore MD None None
Marietta Memorial Hospital - Marietta, Ohio 578.4 miles Thomas Moore MD None None
Strecker Cancer Center Belpre - Belpre, Ohio 589.3 miles Thomas Moore MD None None
Strecker Cancer Center Belpre - Belpre, Ohio 589.3 miles Thomas Moore MD None None
Strecker Cancer Center Belpre - Belpre, Ohio 589.3 miles Thomas Moore MD None None
Strecker Cancer Center Belpre - Belpre, Ohio 589.3 miles Thomas Moore MD None None
Strecker Cancer Center Belpre - Belpre, Ohio 589.3 miles Thomas Moore MD None None
Genesis Health Care System - Zanesville, Ohio 591.1 miles Thomas Moore MD None None
Genesis Health Care System - Zanesville, Ohio 591.1 miles Thomas Moore MD None None
Genesis Health Care System - Zanesville, Ohio 591.1 miles Thomas Moore MD None None
Genesis Health Care System - Zanesville, Ohio 591.1 miles Thomas Moore MD None None
Genesis Health Care System - Zanesville, Ohio 591.1 miles Thomas Moore MD None None
OhioHealth Mansfield Hospital - Mansfield, Ohio 601.5 miles Thomas Moore MD None None
OhioHealth Mansfield Hospital - Mansfield, Ohio 601.5 miles Thomas Moore MD None None
OhioHealth Mansfield Hospital - Mansfield, Ohio 601.5 miles Thomas Moore MD None None
OhioHealth Mansfield Hospital - Mansfield, Ohio 601.5 miles Thomas Moore MD None None
OhioHealth Mansfield Hospital - Mansfield, Ohio 601.5 miles Thomas Moore MD None None
Southeastern Medical Oncology Center - Goldsboro, North Carolina 607.9 miles James Atkins MD None None
Southeastern Medical Oncology Center - Goldsboro, North Carolina 607.9 miles James Atkins MD None None
Southeastern Medical Oncology Center - Goldsboro, North Carolina 607.9 miles James Atkins MD None None
Southeastern Medical Oncology Center - Goldsboro, North Carolina 607.9 miles James Atkins MD None None
Southeastern Medical Oncology Center - Goldsboro, North Carolina 607.9 miles James Atkins MD None None
Duke University Medical Center - Durham, North Carolina 609.0 miles Oluwadamilola Fayanju MD None None
Duke University Medical Center - Durham, North Carolina 609.0 miles Oluwadamilola Fayanju MD None None
Duke University Medical Center - Durham, North Carolina 609.0 miles Oluwadamilola Fayanju MD None None
Duke University Medical Center - Durham, North Carolina 609.0 miles Oluwadamilola Fayanju MD None None
Duke University Medical Center - Durham, North Carolina 609.0 miles Oluwadamilola Fayanju MD None None
Licking Memorial Hospital - Newark, Ohio 609.8 miles Thomas Moore MD None None
Licking Memorial Hospital - Newark, Ohio 609.8 miles Thomas Moore MD None None
Licking Memorial Hospital - Newark, Ohio 609.8 miles Thomas Moore MD None None
Licking Memorial Hospital - Newark, Ohio 609.8 miles Thomas Moore MD None None
Licking Memorial Hospital - Newark, Ohio 609.8 miles Thomas Moore MD None None
Rex Cancer Center - Raleigh, North Carolina 610.5 miles Henry Cromartie MD None None
Rex Cancer Center - Raleigh, North Carolina 610.5 miles Henry Cromartie MD None None
Rex Cancer Center - Raleigh, North Carolina 610.5 miles Henry Cromartie MD None None
Rex Cancer Center - Raleigh, North Carolina 610.5 miles Henry Cromartie MD None None
Rex Cancer Center - Raleigh, North Carolina 610.5 miles Henry Cromartie MD None None
St Anns Hospital - Westerville, Ohio 633.8 miles Thomas Moore MD None None
St Anns Hospital - Westerville, Ohio 633.8 miles Thomas Moore MD None None
St Anns Hospital - Westerville, Ohio 633.8 miles Thomas Moore MD None None
St Anns Hospital - Westerville, Ohio 633.8 miles Thomas Moore MD None None
St Anns Hospital - Westerville, Ohio 633.8 miles Thomas Moore MD None None
Mount Carmel East Hospital - Columbus, Ohio 635.1 miles Thomas Moore MD None None
Mount Carmel East Hospital - Columbus, Ohio 635.1 miles Thomas Moore MD None None
Mount Carmel East Hospital - Columbus, Ohio 635.1 miles Thomas Moore MD None None
Mount Carmel East Hospital - Columbus, Ohio 635.1 miles Thomas Moore MD None None
Mount Carmel East Hospital - Columbus, Ohio 635.1 miles Thomas Moore MD None None
OhioHealth Marion General Hospital - Marion, Ohio 635.5 miles Thomas Moore MD None None
OhioHealth Marion General Hospital - Marion, Ohio 635.5 miles Thomas Moore MD None None
OhioHealth Marion General Hospital - Marion, Ohio 635.5 miles Thomas Moore MD None None
OhioHealth Marion General Hospital - Marion, Ohio 635.5 miles Thomas Moore MD None None
OhioHealth Marion General Hospital - Marion, Ohio 635.5 miles Thomas Moore MD None None
MidOhio Oncology Hematology Mark H Zangmeister Center - Columbus, Ohio 637.3 miles Thomas Moore MD None None
MidOhio Oncology Hematology Mark H Zangmeister Center - Columbus, Ohio 637.3 miles Thomas Moore MD None None
MidOhio Oncology Hematology Mark H Zangmeister Center - Columbus, Ohio 637.3 miles Thomas Moore MD None None
MidOhio Oncology Hematology Mark H Zangmeister Center - Columbus, Ohio 637.3 miles Thomas Moore MD None None
MidOhio Oncology Hematology Mark H Zangmeister Center - Columbus, Ohio 637.3 miles Thomas Moore MD None None
OhioHealth Grady Delaware Health Center - Delaware, Ohio 637.8 miles Thomas Moore MD None None
OhioHealth Grady Delaware Health Center - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Grady Hospital - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Grady Hospital - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Grady Hospital - Delaware, Ohio 637.8 miles Thomas Moore MD None None
OhioHealth Grady Delaware Health Center - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Grady Hospital - Delaware, Ohio 637.8 miles Thomas Moore MD None None
OhioHealth Grady Delaware Health Center - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Grady Hospital - Delaware, Ohio 637.8 miles Thomas Moore MD None None
OhioHealth Grady Delaware Health Center - Delaware, Ohio 637.8 miles Thomas Moore MD None None
Cone Health Cancer Center - Greensboro, North Carolina 639.3 miles Vinay Gudena MD None None
Cone Health Cancer Center - Greensboro, North Carolina 639.3 miles Vinay Gudena MD None None
Cone Health Cancer Center - Greensboro, North Carolina 639.3 miles Vinay Gudena MD None None
Cone Health Cancer Center - Greensboro, North Carolina 639.3 miles Vinay Gudena MD None None
Cone Health Cancer Center - Greensboro, North Carolina 639.3 miles Vinay Gudena MD None None
Riverside Methodist Hospital - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Riverside Methodist Hospital - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Columbus Oncology Hematology INC - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Columbus Oncology Hematology INC - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Riverside Methodist Hospital - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Riverside Methodist Hospital - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Columbus Oncology Hematology INC - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Columbus Oncology Hematology INC - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Riverside Methodist Hospital - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Columbus Oncology Hematology INC - Columbus, Ohio 640.9 miles Thomas Moore MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Ohio State University Comprehensive Cancer Center - Columbus, Ohio 641.0 miles Doreen Agnese MD None None
Grant Medical Center - Columbus, Ohio 641.8 miles Thomas Moore MD None None
Grant Medical Center - Columbus, Ohio 641.8 miles Thomas Moore MD None None
Grant Medical Center - Columbus, Ohio 641.8 miles Thomas Moore MD None None
Grant Medical Center - Columbus, Ohio 641.8 miles Thomas Moore MD None None
Grant Medical Center - Columbus, Ohio 641.8 miles Thomas Moore MD None None
Mount Carmel West Hospital - Columbus, Ohio 644.4 miles Thomas Moore MD None None
Mount Carmel West Hospital - Columbus, Ohio 644.4 miles Thomas Moore MD None None
Mount Carmel West Hospital - Columbus, Ohio 644.4 miles Thomas Moore MD None None
Mount Carmel West Hospital - Columbus, Ohio 644.4 miles Thomas Moore MD None None
Mount Carmel West Hospital - Columbus, Ohio 644.4 miles Thomas Moore MD None None
Doctors Hospital - Columbus, Ohio 648.2 miles Thomas Moore MD None None
Doctors Hospital - Columbus, Ohio 648.2 miles Thomas Moore MD None None
Doctors Hospital - Columbus, Ohio 648.2 miles Thomas Moore MD None None
Doctors Hospital - Columbus, Ohio 648.2 miles Thomas Moore MD None None
Doctors Hospital - Columbus, Ohio 648.2 miles Thomas Moore MD None None
Wake Forest Baptist Health - Winston-Salem, North Carolina 659.2 miles Akiko Chiba MD None None
Wake Forest Baptist Health - Winston-Salem, North Carolina 659.2 miles Akiko Chiba MD None None
Wake Forest Baptist Health - Winston-Salem, North Carolina 659.2 miles Akiko Chiba MD None None
Wake Forest Baptist Health - Winston-Salem, North Carolina 659.2 miles Akiko Chiba MD None None
Wake Forest Baptist Health - Winston-Salem, North Carolina 659.2 miles Akiko Chiba MD None None
St Elizabeth Healthcare Edgewood - Edgewood, Kentucky 742.9 miles JMike Guenther MD None None
St Elizabeth Healthcare Edgewood - Edgewood, Kentucky 742.9 miles JMike Guenther MD None None
St Elizabeth Healthcare Edgewood - Edgewood, Kentucky 742.9 miles JMike Guenther MD None None
St Elizabeth Healthcare Edgewood - Edgewood, Kentucky 742.9 miles JMike Guenther MD None None
St Elizabeth Healthcare Edgewood - Edgewood, Kentucky 742.9 miles JMike Guenther MD None None
Aurora Health Care Aurora Cancer Care - Kenosha, Wisconsin 766.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Kenosha, Wisconsin 766.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Kenosha, Wisconsin 766.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Kenosha, Wisconsin 766.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Kenosha, Wisconsin 766.8 miles Judy Tjoe MD None None
Indiana University Health Melvin and Bren Simon Cancer Center - Indianapolis, Indiana 805.0 miles Samillia ObengGyasi MD None None
Indiana University Health Melvin and Bren Simon Cancer Center - Indianapolis, Indiana 805.0 miles Samillia ObengGyasi MD None None
Indiana University Health Melvin and Bren Simon Cancer Center - Indianapolis, Indiana 805.0 miles Samillia ObengGyasi MD None None
Indiana University Health Melvin and Bren Simon Cancer Center - Indianapolis, Indiana 805.0 miles Samillia ObengGyasi MD None None
Indiana University Health Melvin and Bren Simon Cancer Center - Indianapolis, Indiana 805.0 miles Samillia ObengGyasi MD None None
Aurora Health Care Aurora Cancer Care - Two Rivers, Wisconsin 840.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Two Rivers, Wisconsin 840.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Two Rivers, Wisconsin 840.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Two Rivers, Wisconsin 840.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Two Rivers, Wisconsin 840.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Sheboygan, Wisconsin 845.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Sheboygan, Wisconsin 845.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Sheboygan, Wisconsin 845.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Sheboygan, Wisconsin 845.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Sheboygan, Wisconsin 845.6 miles Judy Tjoe MD None None
Aurora Bay Area Medical Group Cancer Care Clinic - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Bay Area Medical Group Cancer Care Clinic - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Bay Area Medical Group Cancer Care Clinic - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Bay Area Medical Group Cancer Care Clinic - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Bay Area Medical Group Cancer Care Clinic - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Marinette, Wisconsin 846.7 miles Judy Tjoe MD None None
Mount Sinai Hospital - New York, New York 850.7 miles Hank Schmidt MD None None
Mount Sinai Hospital - New York, New York 850.7 miles Hank Schmidt MD None None
Mount Sinai Hospital - New York, New York 850.7 miles Hank Schmidt MD None None
Mount Sinai Hospital - New York, New York 850.7 miles Hank Schmidt MD None None
Mount Sinai Hospital - New York, New York 850.7 miles Hank Schmidt MD None None
Aurora Health Care Aurora Cancer Care - Racine, Wisconsin 854.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Racine, Wisconsin 854.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Racine, Wisconsin 854.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Racine, Wisconsin 854.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Racine, Wisconsin 854.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Grafton, Wisconsin 855.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Grafton, Wisconsin 855.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Grafton, Wisconsin 855.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Grafton, Wisconsin 855.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Grafton, Wisconsin 855.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.6 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Milwaukee, Wisconsin 856.9 miles Judy Tjoe MD None None
Vince Lombardi Cancer Clinic of Aurora St Lukes Medical Center - Milwaukee, Wisconsin 857.3 miles Judy Tjoe MD None None
Vince Lombardi Cancer Clinic of Aurora St Lukes Medical Center - Milwaukee, Wisconsin 857.3 miles Judy Tjoe MD None None
Vince Lombardi Cancer Clinic of Aurora St Lukes Medical Center - Milwaukee, Wisconsin 857.3 miles Judy Tjoe MD None None
Vince Lombardi Cancer Clinic of Aurora St Lukes Medical Center - Milwaukee, Wisconsin 857.3 miles Judy Tjoe MD None None
Vince Lombardi Cancer Clinic of Aurora St Lukes Medical Center - Milwaukee, Wisconsin 857.3 miles Judy Tjoe MD None None
BayCare Aurora LLC Aurora Cancer Care - Green Bay, Wisconsin 857.5 miles Judy Tjoe MD None None
BayCare Aurora LLC Aurora Cancer Care - Green Bay, Wisconsin 857.5 miles Judy Tjoe MD None None
BayCare Aurora LLC Aurora Cancer Care - Green Bay, Wisconsin 857.5 miles Judy Tjoe MD None None
BayCare Aurora LLC Aurora Cancer Care - Green Bay, Wisconsin 857.5 miles Judy Tjoe MD None None
BayCare Aurora LLC Aurora Cancer Care - Green Bay, Wisconsin 857.5 miles Judy Tjoe MD None None
MD Anderson Cancer Center - Houston, Texas 858.6 miles Alastair Thompson MD None None
MD Anderson Cancer Center - Houston, Texas 858.6 miles Alastair Thompson MD None None
MD Anderson Cancer Center - Houston, Texas 858.6 miles Alastair Thompson MD None None
MD Anderson Cancer Center - Houston, Texas 858.6 miles Alastair Thompson MD None None
MD Anderson Cancer Center - Houston, Texas 858.6 miles Alastair Thompson MD None None
Aurora Health Care Aurora Cancer Care - Wauwatosa, Wisconsin 862.1 miles Judy Tjoe MD None None
Froedtert and the Medical College of Wisconsin - Milwaukee, Wisconsin 862.1 miles Tina Yen MD None None
Aurora Health Care Aurora Cancer Care - Wauwatosa, Wisconsin 862.1 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Wauwatosa, Wisconsin 862.1 miles Judy Tjoe MD None None
Froedtert and the Medical College of Wisconsin - Milwaukee, Wisconsin 862.1 miles Tina Yen MD None None
Froedtert and the Medical College of Wisconsin - Milwaukee, Wisconsin 862.1 miles Tina Yen MD None None
Aurora Health Care Aurora Cancer Care - Wauwatosa, Wisconsin 862.1 miles Judy Tjoe MD None None
Froedtert and the Medical College of Wisconsin - Milwaukee, Wisconsin 862.1 miles Tina Yen MD None None
Aurora Health Care Aurora Cancer Care - Wauwatosa, Wisconsin 862.1 miles Judy Tjoe MD None None
Froedtert and the Medical College of Wisconsin - Milwaukee, Wisconsin 862.1 miles Tina Yen MD None None
Aurora Health Care Aurora Cancer Care - West Allis, Wisconsin 862.3 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - West Allis, Wisconsin 862.3 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - West Allis, Wisconsin 862.3 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - West Allis, Wisconsin 862.3 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - West Allis, Wisconsin 862.3 miles Judy Tjoe MD None None
Aurora Health Care Germantown Health Center - Germantown, Wisconsin 866.8 miles Judy Tjoe MD None None
Aurora Health Care Germantown Health Center - Germantown, Wisconsin 866.8 miles Judy Tjoe MD None None
Aurora Health Care Germantown Health Center - Germantown, Wisconsin 866.8 miles Judy Tjoe MD None None
Aurora Health Care Germantown Health Center - Germantown, Wisconsin 866.8 miles Judy Tjoe MD None None
Aurora Health Care Germantown Health Center - Germantown, Wisconsin 866.8 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Burlington, Wisconsin 875.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Burlington, Wisconsin 875.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Burlington, Wisconsin 875.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Burlington, Wisconsin 875.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Burlington, Wisconsin 875.0 miles Judy Tjoe MD None None
Aurora Health Center Fond du Lac - Fond du Lac, Wisconsin 883.0 miles Judy Tjoe MD None None
Aurora Health Center Fond du Lac - Fond du Lac, Wisconsin 883.0 miles Judy Tjoe MD None None
Aurora Health Center Fond du Lac - Fond du Lac, Wisconsin 883.0 miles Judy Tjoe MD None None
Aurora Health Center Fond du Lac - Fond du Lac, Wisconsin 883.0 miles Judy Tjoe MD None None
Aurora Health Center Fond du Lac - Fond du Lac, Wisconsin 883.0 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Summit, Wisconsin 883.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Summit, Wisconsin 883.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Summit, Wisconsin 883.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Summit, Wisconsin 883.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Summit, Wisconsin 883.9 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Oshkosh, Wisconsin 890.2 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Oshkosh, Wisconsin 890.2 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Oshkosh, Wisconsin 890.2 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Oshkosh, Wisconsin 890.2 miles Judy Tjoe MD None None
Aurora Health Care Aurora Cancer Care - Oshkosh, Wisconsin 890.2 miles Judy Tjoe MD None None
Metro MN Community Oncology Research Consortium MMCORC - Saint Louis Park, Minnesota 1,124.8 miles Michaela Tsai MD None None
Metro MN Community Oncology Research Consortium MMCORC - Saint Louis Park, Minnesota 1,124.8 miles Michaela Tsai MD None None
Metro MN Community Oncology Research Consortium MMCORC - Saint Louis Park, Minnesota 1,124.8 miles Michaela Tsai MD None None
Metro MN Community Oncology Research Consortium MMCORC - Saint Louis Park, Minnesota 1,124.8 miles Michaela Tsai MD None None
Metro MN Community Oncology Research Consortium MMCORC - Saint Louis Park, Minnesota 1,124.8 miles Michaela Tsai MD None None
Cancer Centers of Southwest Oklahoma - Lawton, Oklahoma 1,569.0 miles Jose Najera MD None None
Cancer Centers of Southwest Oklahoma - Lawton, Oklahoma 1,569.0 miles Jose Najera MD None None
Cancer Centers of Southwest Oklahoma - Lawton, Oklahoma 1,569.0 miles Jose Najera MD None None
Cancer Centers of Southwest Oklahoma - Lawton, Oklahoma 1,569.0 miles Jose Najera MD None None
Cancer Centers of Southwest Oklahoma - Lawton, Oklahoma 1,569.0 miles Jose Najera MD None None
Colorado Cancer Research Program - Denver, Colorado 1,765.6 miles Keren Sturtz MD None None
Colorado Cancer Research Program - Denver, Colorado 1,765.6 miles Keren Sturtz MD None None
Colorado Cancer Research Program - Denver, Colorado 1,765.6 miles Keren Sturtz MD None None
Colorado Cancer Research Program - Denver, Colorado 1,765.6 miles Keren Sturtz MD None None
Colorado Cancer Research Program - Denver, Colorado 1,765.6 miles Keren Sturtz MD None None
Billings Clinic - Billings, Montana 1,858.2 miles Benjamin Marchello MD None None
Billings Clinic - Billings, Montana 1,858.2 miles Benjamin Marchello MD None None
Billings Clinic - Billings, Montana 1,858.2 miles Benjamin Marchello MD None None
Billings Clinic - Billings, Montana 1,858.2 miles Benjamin Marchello MD None None
Billings Clinic - Billings, Montana 1,858.2 miles Benjamin Marchello MD None None
Benefis Sletten Cancer Institute - Great Falls, Montana 1,978.5 miles Benjamin Marchello MD None None
Benefis Sletten Cancer Institute - Great Falls, Montana 1,978.5 miles Benjamin Marchello MD None None
Benefis Sletten Cancer Institute - Great Falls, Montana 1,978.5 miles Benjamin Marchello MD None None
Benefis Sletten Cancer Institute - Great Falls, Montana 1,978.5 miles Benjamin Marchello MD None None
Benefis Sletten Cancer Institute - Great Falls, Montana 1,978.5 miles Benjamin Marchello MD None None
Bozeman Health - Bozeman, Montana 1,983.0 miles Benjamin Marchello MD None None
Bozeman Health - Bozeman, Montana 1,983.0 miles Benjamin Marchello MD None None
Bozeman Health - Bozeman, Montana 1,983.0 miles Benjamin Marchello MD None None
Bozeman Health - Bozeman, Montana 1,983.0 miles Benjamin Marchello MD None None
Bozeman Health - Bozeman, Montana 1,983.0 miles Benjamin Marchello MD None None
Community Hospital of Anaconda - Anaconda, Montana 2,073.0 miles Benjamin Marchmello MD None None
Community Hospital of Anaconda - Anaconda, Montana 2,073.0 miles Benjamin Marchmello MD None None
Community Hospital of Anaconda - Anaconda, Montana 2,073.0 miles Benjamin Marchmello MD None None
Community Hospital of Anaconda - Anaconda, Montana 2,073.0 miles Benjamin Marchmello MD None None
Community Hospital of Anaconda - Anaconda, Montana 2,073.0 miles Benjamin Marchmello MD None None
Huntsman Cancer Institute - Salt Lake City, Utah 2,094.1 miles Cindy Matsen MD None None
Huntsman Cancer Institute - Salt Lake City, Utah 2,094.1 miles Cindy Matsen MD None None
Huntsman Cancer Institute - Salt Lake City, Utah 2,094.1 miles Cindy Matsen MD None None
Huntsman Cancer Institute - Salt Lake City, Utah 2,094.1 miles Cindy Matsen MD None None
Huntsman Cancer Institute - Salt Lake City, Utah 2,094.1 miles Cindy Matsen MD None None
Kalispell Regional Medical Center - Kalispell, Montana 2,114.7 miles Benjamin Marchello MD None None
Kalispell Regional Medical Center - Kalispell, Montana 2,114.7 miles Benjamin Marchello MD None None
Kalispell Regional Medical Center - Kalispell, Montana 2,114.7 miles Benjamin Marchello MD None None
Kalispell Regional Medical Center - Kalispell, Montana 2,114.7 miles Benjamin Marchello MD None None
Kalispell Regional Medical Center - Kalispell, Montana 2,114.7 miles Benjamin Marchello MD None None
Community Medical Center - Missoula, Montana 2,120.4 miles Benjamin Marchello MD None None
Community Medical Center - Missoula, Montana 2,120.4 miles Benjamin Marchello MD None None
Community Medical Center - Missoula, Montana 2,120.4 miles Benjamin Marchello MD None None
Community Medical Center - Missoula, Montana 2,120.4 miles Benjamin Marchello MD None None
Community Medical Center - Missoula, Montana 2,120.4 miles Benjamin Marchello MD None None
Kootenai Health - Post Falls, Idaho 2,240.4 miles Benjamin Marchello MD None None
Kootenai Health - Post Falls, Idaho 2,240.4 miles Benjamin Marchello MD None None
Kootenai Health - Post Falls, Idaho 2,240.4 miles Benjamin Marchello MD None None
Kootenai Health - Post Falls, Idaho 2,240.4 miles Benjamin Marchello MD None None
Kootenai Health - Post Falls, Idaho 2,240.4 miles Benjamin Marchello MD None None
Overlake Hospital Medical Center - Bellevue, Washington 2,484.1 miles Kristi Harrington MD None None
Overlake Hospital Medical Center - Bellevue, Washington 2,484.1 miles Kristi Harrington MD None None
Overlake Hospital Medical Center - Bellevue, Washington 2,484.1 miles Kristi Harrington MD None None
Overlake Hospital Medical Center - Bellevue, Washington 2,484.1 miles Kristi Harrington MD None None
Overlake Hospital Medical Center - Bellevue, Washington 2,484.1 miles Kristi Harrington MD None None
Carson Tahoe Health - Carson City, Nevada 2,528.5 miles Dina Tack MD None None
Carson Tahoe Health - Carson City, Nevada 2,528.5 miles Dina Tack MD None None
Carson Tahoe Health - Carson City, Nevada 2,528.5 miles Dina Tack MD None None
Carson Tahoe Health - Carson City, Nevada 2,528.5 miles Dina Tack MD None None
Carson Tahoe Health - Carson City, Nevada 2,528.5 miles Dina Tack MD None None
Sharp Memorial Hospital - San Diego, California 2,579.1 miles Reema Batra MD None None
Sharp Memorial Hospital - San Diego, California 2,579.1 miles Reema Batra MD None None
Sharp Memorial Hospital - San Diego, California 2,579.1 miles Reema Batra MD None None
Sharp Memorial Hospital - San Diego, California 2,579.1 miles Reema Batra MD None None
Sharp Memorial Hospital - San Diego, California 2,579.1 miles Reema Batra MD None None
CedarsSinai Medical Center - Los Angeles, California 2,601.4 miles Armando Giuliano MD None None
CedarsSinai Medical Center - Los Angeles, California 2,601.4 miles Armando Giuliano MD None None
CedarsSinai Medical Center - Los Angeles, California 2,601.4 miles Armando Giuliano MD None None
CedarsSinai Medical Center - Los Angeles, California 2,601.4 miles Armando Giuliano MD None None
CedarsSinai Medical Center - Los Angeles, California 2,601.4 miles Armando Giuliano MD None None
Providence Alaska Medical Center - Anchorage, Alaska 3,372.7 miles Jeanne Anderson MD None None
Providence Alaska Medical Center - Anchorage, Alaska 3,372.7 miles Jeanne Anderson MD None None
Providence Alaska Medical Center - Anchorage, Alaska 3,372.7 miles Jeanne Anderson MD None None
Providence Alaska Medical Center - Anchorage, Alaska 3,372.7 miles Jeanne Anderson MD None None
Providence Alaska Medical Center - Anchorage, Alaska 3,372.7 miles Jeanne Anderson MD None None
University of Hawaii Cancer Center - Honolulu, Hawaii 5,091.8 miles Kenneth Sumida MD None None
University of Hawaii Cancer Center - Honolulu, Hawaii 5,091.8 miles Kenneth Sumida MD None None
University of Hawaii Cancer Center - Honolulu, Hawaii 5,091.8 miles Kenneth Sumida MD None None
University of Hawaii Cancer Center - Honolulu, Hawaii 5,091.8 miles Kenneth Sumida MD None None
University of Hawaii Cancer Center - Honolulu, Hawaii 5,091.8 miles Kenneth Sumida MD None None

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