Descripción:

SOUTHWEST ONCOLOGY GROUP S0307 SUPPLEMENTARY FOLLOW-UP FORM Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEBA17CF-62C1-30F0-E034-0003BA12F5E7

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEBA17CF-62C1-30F0-E034-0003BA12F5E7
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Versiones (2)
  1. 26/8/12 26/8/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
Subido en:

9 de enero de 2015

DOI:
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Licencia :
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00127205 Follow-Up - SOUTHWEST ONCOLOGY GROUP S0307 SUPPLEMENTARY FOLLOW-UP FORM - 2287249v3.0

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1 formularios  
  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP S0307 SUPPLEMENTARY FOLLOW-UP FORM
    1. No Instruction available.
Header
Notice Of Progression - Adjuvant
Has the patient been diagnosed with opposite breast cancer since submission of last follow-up form?
Has the patient been diagnosed with first local-regional recurrence since submission of last follow-up form?
Site(s) of First Local-Regional Progression (select all that apply)
3 más elementos en la vista detallada.
Has the patient been diagnosed with first distant recurrence/progression since submission of last follow-up form?
Site(s) of First Distant Progression
6 más elementos en la vista detallada.
If the patient has been previously diagnosed with first distant recurrence/progression at a site other than bone, has the patient been diagnosed with a subsequent bone recurrence since submission of last follow-up form?
How was this progression information obtained?
How was this progression information obtained?
Has the patient had a fracture since submission of the last follow-up form?
indicate site (If yes,)
3 más elementos en la vista detallada.
Was the fracture traumatic (from greater than standing height)?
Has the patient had osteonecrosis or osteomyelitis of the jaw since submission of the last follow-up form?
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