Submit every 6 months from date of randomization for the first 5 years; yearly thereafter, and when a protocol event occurs. Fax Form F to 412-622-2111

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
Patient Initials
Item
Patient Initials (Last First Middle)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Patient ID NSABP
Item
NSABP Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1513905 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C15818 (NCI Thesaurus Property-2)
Item Group
Items Related To Calculation Of Residual Cancer Burden
ResidualDiseasePostNeoadjuvantTherapyDimensionLongestMeasurement
Item
Primary Tumor Bed Area (Identification of cross-sectional dimensions of residual bed, considering gross and adjacent microscopic tumor. If no residual tumor, measurements = 0.)
float
C4809 (NCI Thesaurus ObjectClass)
C0543478 (UMLS 2011AA ObjectClass)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
C15665 (NCI Thesaurus Property-2)
C0600558 (UMLS 2011AA Property-2)
C25483 (NCI Thesaurus Property-3)
C0439534 (UMLS 2011AA Property-3)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25558 (NCI Thesaurus ValueDomain-2)
C1522425 (UMLS 2011AA ValueDomain-2)
ResidualDiseasePostNeoadjuvantTherapyDimensionLongestPerpendicularAxisMeasurement
Item
Primary Tumor Bed Area
float
C4809 (NCI Thesaurus ObjectClass)
C0543478 (UMLS 2011AA ObjectClass)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
C15665 (NCI Thesaurus Property-2)
C0600558 (UMLS 2011AA Property-2)
C25483 (NCI Thesaurus Property-3)
C0439534 (UMLS 2011AA Property-3)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25558 (NCI Thesaurus ValueDomain-2)
C1522425 (UMLS 2011AA ValueDomain-2)
C54649 (NCI Thesaurus ValueDomain-3)
C1295725 (UMLS 2011AA ValueDomain-3)
InvasiveBreastCarcinomaExtentNumber
Item
Overall Cancer Cellularity (Estimate of proportion of residual tumor bed area that is involved by cancer. If no residual tumor, % = 0)
float
C4872 (NCI Thesaurus ObjectClass)
C0678222 (UMLS 2011AA ObjectClass)
C14159 (NCI Thesaurus ObjectClass-2)
C0205281 (UMLS 2011AA ObjectClass-2)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C25527 (NCI Thesaurus Property-2)
C0205462 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
BreastCarcinomaInSituTumorPercentageValue
Item
Percentage of Cancer that is in situ Disease (Estimate of the proportion of residual tumor bed area that is in situ component. If no residual tumor, % = 0)
float
C4872 (NCI Thesaurus ObjectClass)
C0678222 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C14160 (NCI Thesaurus Property-2)
C0444498 (UMLS 2011AA Property-2)
C3262 (NCI Thesaurus ValueDomain)
C0027651 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain-2)
C0439165 (UMLS 2011AA ValueDomain-2)
C19157 (NCI Thesaurus ValueDomain-3)
C0370003 (UMLS 2011AA ValueDomain-3)
C25712 (NCI Thesaurus ValueDomain-4)
C1522609 (UMLS 2011AA ValueDomain-4)
LymphNodePositiveCount
Item
Number of Positive Lymph Nodes (Consider axillary nodes from applicable post-neoadjuvant procedures: sentinel node biopsy and/or surgical evaluation of axilla. If no positive axillary nodes, number = 0.)
float
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
AxillarySentinelLymphNodeLongestMetastaticDiameterMeasurement
Item
Diameter of largest metastasis (Consider axillary nodes from applicable post-neoadjuvant procedures: sentinel node biopsy and/or surgical evaluation of axilla. If no positive axillary nodes, largest metastasis = 0)
float
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C12947 (NCI Thesaurus ObjectClass-2)
C1522495 (UMLS 2011AA ObjectClass-2)
C12904 (NCI Thesaurus ObjectClass-3)
C0729594 (UMLS 2011AA ObjectClass-3)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C25558 (NCI Thesaurus Property-2)
C1522425 (UMLS 2011AA Property-2)
C14174 (NCI Thesaurus Property-3)
C0036525 (UMLS 2011AA Property-3)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Item
Units
text
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA ValueDomain)
Code List
Units
CL Item
Millimeters (mm)
Item Group
Footer
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
Person Completing Form
Item
Person Completing Form
text
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
Date Form Completed
Item
Date Form Completed
date
C25164 (NCI Thesaurus ValueDomain)
C1115437 (UMLS CUI-1)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)

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