ID
9056
Beschreibung
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
Link
Stichworte
Versionen (2)
- 27.08.12 27.08.12 -
- 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am
9. Januar 2015
DOI
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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.
Beschreibung
Header
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
Beschreibung
Adjacentnormaltissueblockspecimennumber
Datentyp
text
Beschreibung
Primarytumorslidespecimennumber
Datentyp
text
Beschreibung
Adjacentnormalbreasttissueslidespecimennumber
Datentyp
text
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
Beschreibung
Primary Tumor
Beschreibung
PathologicPrimaryTumorSize
Datentyp
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Beschreibung
HistologicType
Datentyp
text
Beschreibung
HistologicType,OtherName
Datentyp
text
Beschreibung
Grade
Beschreibung
Totalpoints-Bloom,Richardson,Elston(Grade)
Datentyp
text
Beschreibung
TubuleFormation
Datentyp
text
Beschreibung
Nuclearpleomorphism
Datentyp
text
Beschreibung
Mitoses
Datentyp
text
Beschreibung
HistologicGrade
Datentyp
text
Beschreibung
Excision Margins
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
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
Beschreibung
Vessel Invasion
Beschreibung
Her2/neu
Beschreibung
Her2/Neuexpressionstatusbyimmunohistochemistry
Datentyp
text
Beschreibung
StainingAntibody
Datentyp
text
Beschreibung
Other,specify(assay)
Datentyp
text
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
Beschreibung
FISHKitorTestType
Datentyp
text
Beschreibung
FISHKitorTestType,Other
Datentyp
float
Beschreibung
Byothertechnique,(Her2/neu)
Datentyp
text
Beschreibung
Her2/neustatus,(byothertechnique)
Datentyp
text
Beschreibung
Nodal Involvement
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
Beschreibung
Numberofpositiveaxillarylymphnodes
Datentyp
float
Beschreibung
ExtracapsularExtensionInd
Datentyp
boolean
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
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
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
Beschreibung
Ifpositive,largesttumordeposit:
Datentyp
text
Beschreibung
Ifpositive,largesttumordeposit:
Datentyp
text
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
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
Beschreibung
PersonCompletingForm,ProjectRole
Datentyp
text
Beschreibung
Comments
Datentyp
text
Beschreibung
PathologistorInvestigator'sSignature
Datentyp
text
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
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.
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus 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-2)
C0441987 (UMLS 2011AA Property-2)
C0242485 (UMLS 2011AA ValueDomain)
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)
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)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
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)
C0205160 (UMLS 2011AA)
C1446409 (UMLS 2011AA)
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)
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)
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)
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)
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)
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)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)