Description:

NCT00127205 SOUTHWEST ONCOLOGY GROUP (S0307) OSTEONECROTIC JAW LESION 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=DF063443-2859-5EC8-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DF063443-2859-5EC8-E034-0003BA12F5E7

Keywords:
Versions (3) ▾
  1. 8/26/12
  2. 1/9/15
  3. 6/12/15
Uploaded on:

June 12, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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NCT00127205 SOUTHWEST ONCOLOGY GROUP (S0307) OSTEONECROTIC JAW LESION FORM

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  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP (S0307) OSTEONECROTIC JAW LESION FORM
    1. No Instruction available.
Header
Osteonecrotic lesions
Number of osteonecrotic lesions
Any signs/symptoms of infection (e.g., mucosal erythema, swelling, pus, bad taste?)
Maxilla
Maxilla
Maxilla
Mandible
Mandible
Mandible
Associated causative factor(s) (select all that apply:)
Associated causative factor(s) (select all that apply:)
Associated causative factor(s) (select all that apply:)
Steroid Use
Did the patient receive steroids within 12 months of occurrence of the current jaw lesion(s)?
Comments

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