ID

8950

Beschreibung

Bilateral Pathology Form (Form 24-BP) 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=023F7058-16FD-152E-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=023F7058-16FD-152E-E044-0003BA3F9857

Stichworte

Versionen (2)
  1. 26.08.12 26.08.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am

9. Januar 2015

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00659373 Pathology - Bilateral Pathology Form (Form 24-BP) - 2414361v1.0

Englisch

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.

1 Formulare  
Ccrr Module For Pathology Form (form 24-p)
Beschreibung

Ccrr Module For Pathology Form (form 24-p)

Patient ID No. (CCRR MODULE FOR Pathology Form Form 24-P)
Beschreibung

PatientStudyID,CoordinatingGroup

Datentyp

text

Patient Initials (f m fl sl)
Beschreibung

Patient Initials

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Patient's Date of Birth (CCRR MODULE FOR Pathology Form Form 24-P)
Beschreibung

PatientBirthDate

Datentyp

date

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Participating Center/Affiliate
Beschreibung

ParticipatingCenter/Affiliate

Datentyp

text

Center Code
Beschreibung

ParticipatingGroupCode

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Header
Beschreibung

Header

Specimen ID Number
Beschreibung

SpecimenIdentifierNumber

Datentyp

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
Adjacent normal tissue block specimen number
Beschreibung

Adjacentnormaltissueblockspecimennumber

Datentyp

text

Primary tumor slide specimen number
Beschreibung

Primarytumorslidespecimennumber

Datentyp

text

Adjacent normal breast tissue slide specimen number
Beschreibung

Adjacentnormalbreasttissueslidespecimennumber

Datentyp

text

This form is being completed for
Beschreibung

BreastSideAssessmentSite

Datentyp

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-2
C25306
UMLS 2011AA Property-2
C0441987
Primary Tumor
Beschreibung

Primary Tumor

Pathologic primary tumor size. Maximum diameter of invasive component. (cm )
Beschreibung

PathologicPrimaryTumorSize

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Histological type (PRIMARY TUMOR)
Beschreibung

HistologicType

Datentyp

text

other, (PRIMARY TUMOR)
Beschreibung

HistologicType,OtherName

Datentyp

text

Grade
Beschreibung

Grade

Total points - Bloom, Richardson, Elston (Grade) (GRADE)
Beschreibung

Totalpoints-Bloom,Richardson,Elston(Grade)

Datentyp

text

Tubule formation (GRADE)
Beschreibung

TubuleFormation

Datentyp

text

Nuclear pleomorphism (GRADE)
Beschreibung

Nuclearpleomorphism

Datentyp

text

Mitoses (GRADE)
Beschreibung

Mitoses

Datentyp

text

Differentiation (GRADE)
Beschreibung

HistologicGrade

Datentyp

text

Excision Margins
Beschreibung

Excision Margins

Invasive cancer
Beschreibung

InvasiveNeoplasmExcisionMarginType

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C14159
UMLS 2011AA ObjectClass-2
C0205281
NCI Thesaurus Property
C15232
UMLS 2011AA Property
C0728940
NCI Thesaurus Property-2
C25563
UMLS 2011AA Property-2
C0205284
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
DCIS
Beschreibung

DCISExcisionMarginType

Datentyp

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-2
C25563
UMLS 2011AA Property-2
C0205284
Vessel Invasion
Beschreibung

Vessel Invasion

Was there invasion of vessels around primary tumor? (VESSEL INVASION)
Beschreibung

Wasthereinvasionofvesselsaroundprimarytumor?

Datentyp

text

Her2/neu
Beschreibung

Her2/neu

Score by immunohistochemistry
Beschreibung

Her2/Neuexpressionstatusbyimmunohistochemistry

Datentyp

text

Immunohistochemistry Kit or Test Type
Beschreibung

StainingAntibody

Datentyp

text

Other, specify (assay) (HER2/NEU)
Beschreibung

Other,specify(assay)

Datentyp

text

By FISH
Beschreibung

FISHCytologyResultProcedure

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C16491
UMLS 2011AA ObjectClass
C0010819
NCI Thesaurus ObjectClass-2
C17563
UMLS 2011AA ObjectClass-2
C0162789
NCI Thesaurus ValueDomain
C25218
UMLS 2011AA ValueDomain
C1948041
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Type of Assay
Beschreibung

FISHKitorTestType

Datentyp

text

Other, specify (assay) (HER2/NEU)
Beschreibung

FISHKitorTestType,Other

Datentyp

float

By other technique, (Her2/neu) (HER2/NEU)
Beschreibung

Byothertechnique,(Her2/neu)

Datentyp

text

Her2/neu status, (by other technique)
Beschreibung

Her2/neustatus,(byothertechnique)

Datentyp

text

Nodal Involvement
Beschreibung

Nodal Involvement

Total number examined
Beschreibung

AxillaryNodeExaminedTotalCount

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain-2
C25463
UMLS 2011AA ValueDomain-2
C0750480
NCI Thesaurus ObjectClass
C12904
UMLS 2011AA ObjectClass
C0729594
Number of metastatic axillary lymph nodes
Beschreibung

Numberofpositiveaxillarylymphnodes

Datentyp

float

Extracapsular Extension (NODAL INVOLVEMENT)
Beschreibung

ExtracapsularExtensionInd

Datentyp

boolean

Isolated tumor cells only
Beschreibung

IsolatedNeoplasticCellPresentInd-2

Datentyp

boolean

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-2
C12922
UMLS 2011AA ObjectClass-2
C0597032
Total number examined
Beschreibung

AxillarySentinelLymphNodeExaminedTotalCount

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C13351
UMLS 2011AA ObjectClass
C0004454
NCI Thesaurus ObjectClass-2
C12947
UMLS 2011AA ObjectClass-2
C1522495
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain-2
C25463
UMLS 2011AA ValueDomain-2
C0750480
Number of metastatic axillary sentinel lymph nodes
Beschreibung

MetastaticAxillarySentinelLymphNodeExaminedCount

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C14174
UMLS 2011AA ObjectClass
C0036525
NCI Thesaurus ObjectClass-2
C13351
UMLS 2011AA ObjectClass-2
C0004454
NCI Thesaurus ObjectClass-3
C12947
UMLS 2011AA ObjectClass-3
C1522495
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain-2
C25463
UMLS 2011AA ValueDomain-2
C0750480
Largest tumor deposit
Beschreibung

Ifpositive,largesttumordeposit:

Datentyp

text

Largest tumor deposit
Beschreibung

Ifpositive,largesttumordeposit:

Datentyp

text

Total number examined
Beschreibung

InternalMammarySentinelNodeExaminedTotalNumber

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C12947
UMLS 2011AA ObjectClass
C1522495
NCI Thesaurus ObjectClass-2
C25234
UMLS 2011AA ObjectClass-2
C0205102
NCI Thesaurus ObjectClass-3
C43595
UMLS 2011AA ObjectClass-3
C0006141
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain-2
C25304
UMLS 2011AA ValueDomain-2
C0439810
Number of metastatic internal mammary sentinel nodes
Beschreibung

MetastaticInternalMammarySentinelNodeExaminedCount

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C14174
UMLS 2011AA ObjectClass
C0036525
NCI Thesaurus ObjectClass-2
C12947
UMLS 2011AA ObjectClass-2
C1522495
NCI Thesaurus ObjectClass-3
C25234
UMLS 2011AA ObjectClass-3
C0205102
NCI Thesaurus ObjectClass-4
C43595
UMLS 2011AA ObjectClass-4
C0006141
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Form completed by (NODAL INVOLVEMENT)
Beschreibung

PersonCompletingForm,ProjectRole

Datentyp

text

Comments (NODAL INVOLVEMENT)
Beschreibung

Comments

Datentyp

text

Investigator/Pathologist Signature
Beschreibung

PathologistorInvestigator'sSignature

Datentyp

text

Date
Beschreibung

Investigator Signature Date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2346576
NCI Thesaurus Property
C25678
UMLS CUI-2
C0011008
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C17089
Zum Seitenanfang zurückkehren

Ähnliche Modelle

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.

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Ccrr Module For Pathology Form (form 24-p)
PatientStudyID,CoordinatingGroup
Item
Patient ID No. (CCRR MODULE FOR Pathology Form Form 24-P)
text
Patient Initials
Item
Patient Initials (f m fl sl)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
PatientBirthDate
Item
Patient's Date of Birth (CCRR MODULE FOR Pathology Form Form 24-P)
date
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
ParticipatingCenter/Affiliate
Item
Participating Center/Affiliate
text
ParticipatingGroupCode
Item
Center Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Item Group
Header
SpecimenIdentifierNumber
Item
Specimen ID Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Adjacentnormaltissueblockspecimennumber
Item
Adjacent normal tissue block specimen number
text
Primarytumorslidespecimennumber
Item
Primary tumor slide specimen number
text
Adjacentnormalbreasttissueslidespecimennumber
Item
Adjacent normal breast tissue slide specimen number
text
Item
This form is being completed for
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C25306 (NCI Thesaurus Property-2)
C0441987 (UMLS 2011AA Property-2)
CL.1
Code List
This form is being completed for
CL Item
Left Breast/side (Left breast/side)
CL Item
Right Breast/side (Right breast/side)
Item Group
Primary Tumor
PathologicPrimaryTumorSize
Item
Pathologic primary tumor size. Maximum diameter of invasive component. (cm )
float
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Item
Histological type (PRIMARY TUMOR)
text
CL.2
Code List
Histological type (PRIMARY TUMOR)
CL Item
invasive ductal (NOS) (invasive ductal (NOS))
CL Item
medullary (medullary)
CL Item
medullary-atypical (medullary-atypical)
CL Item
invasive lobular - classic type (invasive lobular - classic type)
CL Item
invasive lobular - variant type (invasive lobular - variant type)
CL Item
mucinous (colloid) (mucinous (colloid))
CL Item
mucinous (colloid) - variant (mucinous (colloid) - variant)
CL Item
tubular (tubular)
CL Item
tubular-variant (tubular-variant)
CL Item
invasive ductal with predominant intraductal component (invasive ductal with predominant intraductal component)
CL Item
intraductal (in situ) carcinoma, high grade (intraductal (in situ) carcinoma, high grade)
CL Item
intraductal (in situ) carcinoma, moderate grade (intraductal (in situ) carcinoma, moderate grade)
CL Item
intraductal (in situ) carcinoma, low grade (intraductal (in situ) carcinoma, low grade)
CL Item
invasive cribriform, pure (invasive cribriform, pure)
CL Item
invasive cribriform, mixed (invasive cribriform, mixed)
CL Item
in situ lobular carcinoma (in situ lobular carcinoma)
CL Item
no cancer on slide (no cancer on slide)
CL Item
other, specify (other, specify)
HistologicType,OtherName
Item
other, (PRIMARY TUMOR)
text
Item Group
Grade
Totalpoints-Bloom,Richardson,Elston(Grade)
Item
Total points - Bloom, Richardson, Elston (Grade) (GRADE)
text
TubuleFormation
Item
Tubule formation (GRADE)
text
Nuclearpleomorphism
Item
Nuclear pleomorphism (GRADE)
text
Mitoses
Item
Mitoses (GRADE)
text
Item
Differentiation (GRADE)
text
CL.3
Code List
Differentiation (GRADE)
CL Item
Tumor Is Well Differentiated According To Who Grading System (Well differentiated)
CL Item
Tumor Is Moderately Differentiated According To Who Grading System (Moderately differentiated)
CL Item
Tumor Is Poorly Differentiated According To Who Grading System (Poorly differentiated)
Item Group
Excision Margins
Item
Invasive cancer
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C14159 (NCI Thesaurus ObjectClass-2)
C0205281 (UMLS 2011AA ObjectClass-2)
C15232 (NCI Thesaurus Property)
C0728940 (UMLS 2011AA Property)
C25563 (NCI Thesaurus Property-2)
C0205284 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.4
Code List
Invasive cancer
CL Item
<= 1 Mm, But Not Involved (<= 1 mm, but not involved)
CL Item
> 1 And <= 10 Mm (> 1 and <= 10 mm)
CL Item
> 10 Mm (> 10 mm)
CL Item
Not Involved, But Distance Not Assessable (Not involved, but distance not assessable)
Item
DCIS
text
C25284 (NCI Thesaurus 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-2)
C0205284 (UMLS 2011AA Property-2)
CL.5
Code List
DCIS
CL Item
<= 1 Mm, But Not Involved (<= 1 mm, but not involved)
CL Item
> 1 And <= 10 Mm (> 1 and <= 10 mm)
CL Item
> 10 Mm (> 10 mm)
CL Item
Not Involved, But Distance Not Assessable (Not involved, but distance not assessable)
Item Group
Vessel Invasion
Item
Was there invasion of vessels around primary tumor? (VESSEL INVASION)
text
CL.6
Code List
Was there invasion of vessels around primary tumor? (VESSEL INVASION)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Not Able To Assess (Not able to assess)
Item Group
Her2/neu
Item
Score by immunohistochemistry
text
CL.7
Code List
Score by immunohistochemistry
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1+ (1+)
CL Item
2+ (2+)
CL Item
3+ (3+)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
Item
Immunohistochemistry Kit or Test Type
text
CL.8
Code List
Immunohistochemistry Kit or Test Type
CL Item
Dako Herceptest [tm] (DAKO Herceptest [TM])
CL Item
Other, Specify (Other, specify)
Other,specify(assay)
Item
Other, specify (assay) (HER2/NEU)
text
Item
By FISH
text
C16491 (NCI Thesaurus ObjectClass)
C0010819 (UMLS 2011AA ObjectClass)
C17563 (NCI Thesaurus ObjectClass-2)
C0162789 (UMLS 2011AA ObjectClass-2)
C25218 (NCI Thesaurus ValueDomain)
C1948041 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
CL.9
Code List
By FISH
CL Item
Amplified (Amplified)
CL Item
Normal Copy Number (Normal copy number)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Polysomic (Polysomic)
Item
Type of Assay
text
CL.10
Code List
Type of Assay
CL Item
Dako (DAKO)
CL Item
Oncor (Oncor)
CL Item
Other, Specify (Other, specify)
CL Item
Vysis (Vysis)
FISHKitorTestType,Other
Item
Other, specify (assay) (HER2/NEU)
float
Byothertechnique,(Her2/neu)
Item
By other technique, (Her2/neu) (HER2/NEU)
text
Item
Her2/neu status, (by other technique)
text
CL.11
Code List
Her2/neu status, (by other technique)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
Item Group
Nodal Involvement
AxillaryNodeExaminedTotalCount
Item
Total number examined
float
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C12904 (NCI Thesaurus ObjectClass)
C0729594 (UMLS 2011AA ObjectClass)
Numberofpositiveaxillarylymphnodes
Item
Number of metastatic axillary lymph nodes
float
ExtracapsularExtensionInd
Item
Extracapsular Extension (NODAL INVOLVEMENT)
boolean
IsolatedNeoplasticCellPresentInd-2
Item
Isolated tumor cells only
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25549 (NCI Thesaurus ObjectClass)
C0205409 (UMLS 2011AA ObjectClass)
C12922 (NCI Thesaurus ObjectClass-2)
C0597032 (UMLS 2011AA ObjectClass-2)
AxillarySentinelLymphNodeExaminedTotalCount
Item
Total number examined
float
C13351 (NCI Thesaurus ObjectClass)
C0004454 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass-2)
C1522495 (UMLS 2011AA ObjectClass-2)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
MetastaticAxillarySentinelLymphNodeExaminedCount
Item
Number of metastatic axillary sentinel lymph nodes
float
C14174 (NCI Thesaurus ObjectClass)
C0036525 (UMLS 2011AA ObjectClass)
C13351 (NCI Thesaurus ObjectClass-2)
C0004454 (UMLS 2011AA ObjectClass-2)
C12947 (NCI Thesaurus ObjectClass-3)
C1522495 (UMLS 2011AA ObjectClass-3)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
Item
Largest tumor deposit
text
CL.15
Code List
Largest tumor deposit
CL Item
Isolated Tumor Cells Alone (Isolated tumor cells alone)
CL Item
Macrometastases (Macrometastases)
CL Item
Micrometastases (Micrometastases)
CL Item
None Detected (None detected)
Item
Largest tumor deposit
text
CL.15
Code List
Largest tumor deposit
CL Item
Isolated Tumor Cells Alone (Isolated tumor cells alone)
CL Item
Macrometastases (Macrometastases)
CL Item
Micrometastases (Micrometastases)
CL Item
None Detected (None detected)
InternalMammarySentinelNodeExaminedTotalNumber
Item
Total number examined
float
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
C25234 (NCI Thesaurus ObjectClass-2)
C0205102 (UMLS 2011AA ObjectClass-2)
C43595 (NCI Thesaurus ObjectClass-3)
C0006141 (UMLS 2011AA ObjectClass-3)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25304 (NCI Thesaurus ValueDomain-2)
C0439810 (UMLS 2011AA ValueDomain-2)
MetastaticInternalMammarySentinelNodeExaminedCount
Item
Number of metastatic internal mammary sentinel nodes
float
C14174 (NCI Thesaurus ObjectClass)
C0036525 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass-2)
C1522495 (UMLS 2011AA ObjectClass-2)
C25234 (NCI Thesaurus ObjectClass-3)
C0205102 (UMLS 2011AA ObjectClass-3)
C43595 (NCI Thesaurus ObjectClass-4)
C0006141 (UMLS 2011AA ObjectClass-4)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
Item
Form completed by (NODAL INVOLVEMENT)
text
CL.16
Code List
Form completed by (NODAL INVOLVEMENT)
CL Item
Pathologist (Pathologist)
CL Item
Investigator (Investigator)
Comments
Item
Comments (NODAL INVOLVEMENT)
text
PathologistorInvestigator'sSignature
Item
Investigator/Pathologist Signature
text
Investigator Signature Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
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