ID
8462
Description
Breast Pathology Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=146367B0-88EA-3172-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Pathology - Breast Pathology Form - 2020193v3.0
(Information contained in this section is optional and may be included at the discretion of the group; for example: preprinted labels or electronically populated fields may be used)
Description
Breast: Form Administration
Description
Person Completing Form
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Description
Data amended
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0680532
- NCI Thesaurus ObjectClass
- C25474
- NCI Thesaurus Property
- C25416
Description
Pathology: Estrogen And Progesterone Receptors
Description
TissueType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C12801
- UMLS 2011AA ObjectClass
- C0040300
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
SpecimenBlockNumber
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25436
- UMLS 2011AA Property
- C1533157
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
Description
SpecimenBlockNumber
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25436
- UMLS 2011AA Property
- C1533157
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
Description
SpecimenAccessionNumber
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25402
- UMLS 2011AA Property
- C1510755
Description
TissueType,Other
Data type
text
Description
Evaluation method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
Description
Evaluation method, specify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- UMLS CUI-2
- C1521902
- NCI Thesaurus Property
- C16847
Description
TumorMarkerTestType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25294
- UMLS 2011AA Property
- C0022885
- NCI Thesaurus ObjectClass
- C17220
- UMLS 2011AA ObjectClass
- C0041365
Description
TumorMarkerTestSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C25294
- UMLS 2011AA Property
- C0022885
- NCI Thesaurus ObjectClass
- C17220
- UMLS 2011AA ObjectClass
- C0041365
Description
BreastHormoneReceptorPresentType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C28154
- UMLS 2011AA ObjectClass-2
- C0019929
Description
BreastHormoneReceptorPresentSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C12971
- UMLS 2011AA ObjectClass
- C0006141
- NCI Thesaurus ObjectClass-2
- C28154
- UMLS 2011AA ObjectClass-2
- C0019929
Description
StainingAntibody,Other
Data type
text
Description
AntigenRetrievalInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C268
- UMLS 2011AA ObjectClass
- C0003320
- NCI Thesaurus Property
- C25659
- UMLS 2011AA Property
- C1514918
Description
AntigenRetrievalText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C268
- UMLS 2011AA ObjectClass
- C0003320
- NCI Thesaurus Property
- C25659
- UMLS 2011AA Property
- C1514918
Description
NuclearStainCellPercentageAmount
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C13361
- UMLS 2011AA ObjectClass
- C0521447
- NCI Thesaurus ObjectClass-2
- C841
- UMLS 2011AA ObjectClass-2
- C0038128
- NCI Thesaurus Property
- C12508
- UMLS 2011AA Property
- C0007634
- NCI Thesaurus ValueDomain
- C25613
- UMLS 2011AA ValueDomain
- C0439165
- NCI Thesaurus ValueDomain-2
- C25417
Description
StainedDCISCellPercentage,Nuclear
Data type
float
Description
StainedMalignantNucleiIntensityDescription
Data type
text
Description
StainedMalignantNucleiIntensityScaled
Data type
float
Description
ReceptorStatus
Data type
text
Description
Pathology: Breast Disease Assessment
Description
DiseaseSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass-2
- C12971
- UMLS 2011AA ObjectClass-2
- C0006141
Description
Blocks
Data type
float
Description
AccessionNumber
Data type
float
Description
DiseaseSite,Other
Data type
text
Description
SpecimenSite
Data type
text
Description
SpecimenSite,DistantNodes
Data type
text
Description
SpecimenSite,Other
Data type
text
Description
SpecimenLaterality
Data type
text
Description
AssessmentType
Data type
text
Description
AssessmentType,Specify
Data type
text
Description
Pathology: Assessment Of Benign Breast Tissue
Description
Pathology: Cytology
Description
DuctalLavage/NippleAspirateResult
Data type
text
Description
DuctalLavage/NippleAspirateResult,Other
Data type
text
Description
NippleDischargeResult
Data type
text
Description
NippleDischargeResult,Other
Data type
text
Description
FineNeedleAspirateBiopsyResult
Data type
text
Description
FineNeedleAspirateBiopsyResult,Other
Data type
text
Description
FluidCytology,AscitesResult
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16491
- UMLS 2011AA ObjectClass
- C0010819
- NCI Thesaurus Property
- C2885
- UMLS 2011AA Property
- C0003962
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus ObjectClass-2
- C25278
- UMLS 2011AA ObjectClass-2
- C1704353
Description
FluidCytology,AscitesResult,Other
Data type
text
Description
FluidCytology,PleuralResult
Data type
text
Description
FluidCytology,PleuralResult,Other
Data type
text
Description
Pathology: Assessment Of Ductal Carcinoma In Situ (dcis)
Description
DCISInd
Data type
boolean
Alias
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
- NCI Thesaurus ObjectClass
- C2924
- UMLS 2011AA ObjectClass
- C0007124
- NCI Thesaurus Property-2
- C25527
- UMLS 2011AA Property-2
- C0205462
Description
DCISInd,InvasiveCancer
Data type
boolean
Alias
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C9245
- UMLS 2011AA ObjectClass
- C0853879
Description
PathologicPrimaryTumorSize
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
LobuleCancerizationInd
Data type
boolean
Description
HistologicType,OtherName
Data type
text
Description
HistologicType,Dominant
Data type
text
Description
HistologicType,Dominant,Other
Data type
text
Description
TherapeuticEffectInd
Data type
text
Description
Paget'sDiseaseInd
Data type
text
Description
TherapeuticEffectType
Data type
text
Description
TherapeuticEffectType,Other
Data type
text
Description
NecrosisType
Data type
text
Description
Microcalcifications
Data type
text
Description
NecrosisType,Other
Data type
text
Description
NecrosisInd
Data type
boolean
Description
DCIS,MarginResult
Data type
text
Description
MicroinvasiveCancerInd
Data type
text
Description
Pathology: Assessment Of Lobular Carcinoma In Situ (lcis)
Description
LCISInd
Data type
boolean
Description
LCISInd,InvasiveCancer
Data type
boolean
Description
LCISExtent
Data type
text
Description
LCIS,MarginResult
Data type
text
Description
Pathology: Assessment Of Invasive Tumor
Description
PathologicPrimaryTumorSize
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
PathologicPrimaryTumorSize
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
HistologicType,OtherName
Data type
text
Description
MitoticCount,Corrected
Data type
text
Description
TubuleFormation
Data type
text
Description
TotalNottinghamScore
Data type
float
Description
Paget'sDiseaseInd
Data type
text
Description
DermalLymphaticsInvasionInd
Data type
text
Description
LymphovascularInvasionInd
Data type
text
Description
PerineuralTumorInvasionInd
Data type
text
Description
Microcalcifications
Data type
text
Description
Lymphocytic/MononuclearCellReactionInd
Data type
text
Description
NecrosisInd
Data type
boolean
Description
NecrosisExtent
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16897
- UMLS 2011AA ObjectClass
- C0027540
- NCI Thesaurus Property
- C25332
- UMLS 2011AA Property
- C0439792
Description
MicroinvasiveCancerInd
Data type
text
Description
InvasiveCancer,MarginResult
Data type
text
Description
Pathology: Assessment Of Lymph Nodes
Description
SentinelNodeBiopsyInd
Data type
text
Description
SentinelNodeSite
Data type
text
Description
SentinelNode(s)ExaminedNumber
Data type
float
Description
SentinelNode(s),OtherInvolvedNumber
Data type
float
Description
SentinelNode(s)PositiveNumber
Data type
float
Description
SentinelNode(s)PositiveNumber,H&E
Data type
float
Description
SentinelNode(s)PositiveNumber,IHC
Data type
float
Description
SentinelNode,LargestMetastasisSize
Data type
text
Description
AxillaryDissectionInd
Data type
text
Description
LymphNode(s)ExaminedNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
LymphNode(s)withoutMicromets
Data type
float
Description
LymphNode(s)withMicromets
Data type
float
Description
LymphNodesType
Data type
text
Description
LymphNodeInvolvement
Data type
text
Description
LargestLymphNodeSize
Data type
text
Description
LymphNode(s)PositiveNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
LymphNode(s)PositiveNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
ExtracapsularExtensionInd
Data type
text
Description
Pathology: Disease Staging
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