Tumor Type
Disease characteristics
hidden/not required
integer
Date of initial diagnosis
partialDate
TNM Stage at initial diagnosis, primary tumor
text
TNM Stage at initial diagnosis, regional lymph nodes
text
TNM Stage at initial diagnosis, distant metastasis
text
If Other, specify below
text
Histology at initial diagnosis, other
text
Histological Grade at Initial Diagnosis
integer
Date of last progression
partialDate
Date of Staging at Screening
partialDate
Stage at Screening
text
Extent of Disease at Screening
text
Primary tumor In Situ
text
ErbB2 (Her2/neu) Status
Date of ErbB2 Biopsy
partialDate
Disease status for Biopsy
integer
ErbB2 (Her2neu) Status IHC
text
Fluorescence in Situ Hybridization (FISH)
text
Chromogenic in Situ Hybridization (CISH)
text
Disease characteristics
hidden/not required, If Other, specify below
text
hidden/not required,
text
Date of initial diagnosis
partialDate
TNM Stage at initial diagnosis, primary tumor
text
TNM Stage at initial diagnosis, regional lymph nodes
text
TNM Stage at initial diagnosis, distant metastasis
text
If Other, specify below
text
Histology at initial diagnosis, other
text
Histological Grade at Initial Diagnosis
integer
Date of last progression
partialDate
Date of Staging at Screening
partialDate
Stage at Screening
text
Extent of Disease at Screening
text
Primary tumor In Situ
text
Metastatic disease characteristics
If yes, specify below
text
initial Neoplasm Metastatis, Date
partialDate
Adrenals metastasis
text
Bladder metastasis
text
Bone metastasis
text
Bone Marrow metastasis
text
Breast metastasis
text
Chest Wall metastasis
text
Central nervous system metastasis
text
Kidney metastasis
text
Liver metastasis
text
Lung metastasis
text
Lymph nodes metastasis
text
Ovary metastasis
text
Peritoneum metastasis
text
Pleura metastasis
text
Skin metastasis
text
If Yes, please specify below
text
Other to specify
text