ID
1145
Beschrijving
Pathology Form (Form 24-P) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B126C787-1E49-54D3-E034-0003BA12F5E7
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Versies (2)
- 27-08-12 27-08-12 -
- 09-01-15 09-01-15 - Martin Dugas
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27 augustus 2012
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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00659373 Pathology - Pathology Form (Form 24-P) - 2074955v3.0
PATHOLOGY FORM (Form 24-P) Instructions: This form is to be completed by participating pathologist or investigator. Submit this form within 1 month of randomization, with the pathology report(s) and required pathology materials. Mark your selection with an ?X? in the appropriate box(es). Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done.
Beschrijving
Unnamed1
Beschrijving
SpecimenIdentifierNumber
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
Beschrijving
Adjacentnormaltissueblockspecimennumber
Datatype
text
Beschrijving
Primarytumorslidespecimennumber
Datatype
text
Beschrijving
Adjacentnormalbreasttissueslidespecimennumber
Datatype
text
Beschrijving
BreastSideAssessmentSite
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus Property
- C25306
- UMLS 2011AA Property
- C0441987
Beschrijving
Primary Tumor
Beschrijving
PathologicPrimaryTumorSize
Datatype
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beschrijving
HistologicType
Datatype
text
Beschrijving
HistologicType,OtherName
Datatype
text
Beschrijving
Grade
Beschrijving
Totalpoints-Bloom,Richardson,Elston(Grade)
Datatype
text
Beschrijving
TubuleFormation
Datatype
text
Beschrijving
Nuclearpleomorphism
Datatype
text
Beschrijving
Mitoses
Datatype
text
Beschrijving
HistologicGrade
Datatype
text
Beschrijving
Excision Margins
Beschrijving
InvasiveNeoplasmExcisionMarginType
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass
- C14159
- UMLS 2011AA ObjectClass
- C0205281
- NCI Thesaurus Property
- C15232
- UMLS 2011AA Property
- C0728940
- NCI Thesaurus Property
- C25563
- UMLS 2011AA Property
- C0205284
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beschrijving
DCISExcisionMarginType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C15232
- UMLS 2011AA Property
- C0728940
- NCI Thesaurus ObjectClass
- C2924
- UMLS 2011AA ObjectClass
- C0007124
- NCI Thesaurus Property
- C25563
- UMLS 2011AA Property
- C0205284
Beschrijving
Vessel Invasion
Beschrijving
Her2/neu
Beschrijving
Her2/Neuexpressionstatusbyimmunohistochemistry
Datatype
text
Beschrijving
StainingAntibody
Datatype
text
Beschrijving
Other,specify(assay)
Datatype
text
Beschrijving
FISHCytologyResultProcedure
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16491
- UMLS 2011AA ObjectClass
- C0010819
- NCI Thesaurus ObjectClass
- C17563
- UMLS 2011AA ObjectClass
- C0162789
- NCI Thesaurus ValueDomain
- C25218
- UMLS 2011AA ValueDomain
- C1948041
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Beschrijving
FISHKitorTestType
Datatype
text
Beschrijving
FISHKitorTestType,Other
Datatype
double
Beschrijving
Byothertechnique,(Her2/neu)
Datatype
text
Beschrijving
Her2/neustatus,(byothertechnique)
Datatype
text
Beschrijving
Nodal Involvement
Beschrijving
AxillaryNodeExaminedTotalCount
Datatype
double
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
- NCI Thesaurus ObjectClass
- C12904
- UMLS 2011AA ObjectClass
- C0729594
Beschrijving
Numberofpositiveaxillarylymphnodes
Datatype
double
Beschrijving
ExtracapsularExtensionInd
Datatype
text
Beschrijving
IsolatedNeoplasticCellPresentInd-2
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C25549
- UMLS 2011AA ObjectClass
- C0205409
- NCI Thesaurus ObjectClass
- C12922
- UMLS 2011AA ObjectClass
- C0597032
Beschrijving
AxillarySentinelLymphNodeExaminedTotalCount
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C13351
- UMLS 2011AA ObjectClass
- C0004454
- NCI Thesaurus ObjectClass
- C12947
- UMLS 2011AA ObjectClass
- C1522495
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschrijving
MetastaticAxillarySentinelLymphNodeExaminedCount
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C14174
- UMLS 2011AA ObjectClass
- C0036525
- NCI Thesaurus ObjectClass
- C13351
- UMLS 2011AA ObjectClass
- C0004454
- NCI Thesaurus ObjectClass
- C12947
- UMLS 2011AA ObjectClass
- C1522495
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschrijving
Ifpositive,largesttumordeposit:
Datatype
text
Beschrijving
Ifpositive,largesttumordeposit:
Datatype
text
Beschrijving
InternalMammarySentinelNodeExaminedTotalNumber
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C12947
- UMLS 2011AA ObjectClass
- C1522495
- NCI Thesaurus ObjectClass
- C25234
- UMLS 2011AA ObjectClass
- C0205102
- NCI Thesaurus ObjectClass
- C43595
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
Beschrijving
MetastaticInternalMammarySentinelNodeExaminedCount
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C14174
- UMLS 2011AA ObjectClass
- C0036525
- NCI Thesaurus ObjectClass
- C12947
- UMLS 2011AA ObjectClass
- C1522495
- NCI Thesaurus ObjectClass
- C25234
- UMLS 2011AA ObjectClass
- C0205102
- NCI Thesaurus ObjectClass
- C43595
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschrijving
PersonCompletingForm,ProjectRole
Datatype
text
Beschrijving
Comments
Datatype
text
Beschrijving
PathologistorInvestigator'sSignature
Datatype
text
Beschrijving
InvestigatorSignatureDate
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Similar models
PATHOLOGY FORM (Form 24-P) Instructions: This form is to be completed by participating pathologist or investigator. Submit this form within 1 month of randomization, with the pathology report(s) and required pathology materials. Mark your selection with an ?X? in the appropriate box(es). Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done.
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C0805701 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C1515974 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25306 (NCI Thesaurus Property)
C0441987 (UMLS 2011AA Property)
C0242485 (UMLS 2011AA ValueDomain)
C0027651 (UMLS 2011AA ObjectClass)
C14159 (NCI Thesaurus ObjectClass)
C0205281 (UMLS 2011AA ObjectClass)
C15232 (NCI Thesaurus Property)
C0728940 (UMLS 2011AA Property)
C25563 (NCI Thesaurus Property)
C0205284 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15232 (NCI Thesaurus Property)
C0728940 (UMLS 2011AA Property)
C2924 (NCI Thesaurus ObjectClass)
C0007124 (UMLS 2011AA ObjectClass)
C25563 (NCI Thesaurus Property)
C0205284 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0010819 (UMLS 2011AA ObjectClass)
C17563 (NCI Thesaurus ObjectClass)
C0162789 (UMLS 2011AA ObjectClass)
C25218 (NCI Thesaurus ValueDomain)
C1948041 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C0205160 (UMLS 2011AA)
C1446409 (UMLS 2011AA)
C0439810 (UMLS 2011AA ValueDomain)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C12904 (NCI Thesaurus ObjectClass)
C0729594 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25549 (NCI Thesaurus ObjectClass)
C0205409 (UMLS 2011AA ObjectClass)
C12922 (NCI Thesaurus ObjectClass)
C0597032 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0004454 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0036525 (UMLS 2011AA ObjectClass)
C13351 (NCI Thesaurus ObjectClass)
C0004454 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C1522495 (UMLS 2011AA ObjectClass)
C25234 (NCI Thesaurus ObjectClass)
C0205102 (UMLS 2011AA ObjectClass)
C43595 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C0036525 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
C25234 (NCI Thesaurus ObjectClass)
C0205102 (UMLS 2011AA ObjectClass)
C43595 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)