English French Notes Complete/Exclude TYPE OF IMMUNOTHERAPY (BRM): TYPE OF FIRST RECURRENCE DATE OF FIRST RECURRENCE DISTANT SITE(S) OF FIRST RECURRENCE TABLE V - FIRST RECURRENCE 387TYPE OF FIRST RECURRENCE/BLADDER.. DATE OF FIRST RECURRENCE..........: 70DATE OF FIRST RECURRENCE......... DISTANT SITE(S) OF RECURRENCE: 71.1 RECURRENCE SITE 1........... RECURRENCE SITE 2...........: None RECURRENCE SITE 3...........: None 71.2 RECURRENCE SITE 2........... 71.3 RECURRENCE SITE 3........... DATE OF LAST CONTACT OR DEATH VITAL STATUS CANCER STATUS REVIEWED BY CANCER COMMITTEE TABLE VI - STATUS AT LAST CONTACT DATE OF LAST CONTACT OR DEATH.......: 15VITAL STATUS........................ CANCER STATUS.......................: 81COMPLETED BY........................ 82REVIEWED BY CANCER COMMITTEE........ ACCESSION/SEQUENCE NUMBER...........: CLASS OF CASE.......................: PATIENT REFERRED FOR TREATMENT......: ZIP CODE AT DIAGNOSIS...............: BIRTHDATE...........................: RACE................................: SPANISH ORIGIN......................: SEX.................................: PRIMARY PAYER AT DIAGNOSIS..........: LENGTH OF STAY......................: HEAD AND NECK: SMOKING HISTORY.....................: DURATION OF SMOKING HISTORY.........: DURATION OF SMOKE FREE HISTORY......: TABLE II - DIAGNOSTIC INFORMATION GROSS HEMATURIA...................: MICROSCOPIC HEMATURIA.............: URINARY FREQUENCY.................: BLADDER IRRITIBILITY..............: ONSET OF SYMPTOMS...................: DURATION OF SYMPTOMS: GROSS HEMTURIA....................: BIMANUAL EXAMINATION OF BLADDER...: CYSTOSCOPY WITH BIOPSY............: CYSTOSCOPY WITHOUT BIOPSY.........: FLOW CYTOMETRY....................: INTRAVENOUS PYELOGRAM.............: URINE CYTOLOGY....................: DATE OF INITIAL DIAGNOSIS...........: SPECIALTY MAKING DIAGNOSIS..........: PRIMARY SITE (ICD-O-2)..............: HISTOLOGY (ICD-O-2).................: GRADE...............................: TABLE III - EXTENT OF DISEASE AND AJCC STAGE ABDOMINAL ULTRASOUND: CT OTHER............: BONE IMAGING........: MRI PELVIS/ABDOMEN..: MRI OTHER...........: CT CHEST/LUNG.......: OTHER...............: CT ABDOMEN/PELVIS...: PRESENCE OF HYDRONEPHROSIS..........: TUMOR SIZE (mm).....................: PRESENCE OF MULTIPLE TUMORS.........: REGIONAL NODES EXAMINED.............: REGIONAL NODES POSITIVE.............: SITE(S) OF DISTANT METASTASIS: SITE OF DISTANT METASTASIS #1.....: SITE OF DISTANT METASTASIS #2.....: SITE OF DISTANT METASTASIS #3.....: AJCC STAGE........................: CLINICAL STAGE....................: PATHOLOGIC STAGE..................: Print Bladder PCE PCE Study of Cancers of the Urinary Bladder PROTOCOL ELIGIBILITY STATUS.........: PRIMARY PHYSICIAN.................: SECONDARY PHYSICIAN...............: TUMOR RESECTION DURING TURB.......: TYPE OF URINARY DIVERSION.........: PELVIC LYMPH NODE DISSECTION......: BLEEDING REQUIRING TRANSFUSION..: DEEP VENOUS THROMBOSIS..........: MYOCARDIAL INFARCTION/ARRHYTHMIA: PELVIC ABSCESS..................: PNEUMONIA REQUIRING ANTIBIOTICS.: POST-OPERATIVE DEATH (30 DAYS)..: PULMONARY EMBOLISM/THROMBOSIS...: DATE RADIATION THERAPY ENDED......: TOTAL RAD (cGy/rad) DOSE..........: REGIONAL TREATMENT MODALITY.......: URINARY INCONTINENCE............: RADIATION BOWEL INJURY..........: DATE CHEMOTHERAPY ENDED...........: ROUTE CHEMOTHERAPY ADMINISTERED...: IFOSFAMIDE......: METHOTREXATE....: TAXOL...........: THIOTEPA........: VINBLASTINE.....: GALLIUM NITRATE.: OTHER...........: INDICATION FOR ADMIN OF AGENTS...: REASON CHEMOTHERAPY STOPPED......: TYPE OF FIRST RECURRENCE............: DATE OF FIRST RECURRENCE............: DISTANT SITE OF FIRST RECURRENCE 1..: DISTANT SITE OF FIRST RECURRENCE 2..: DISTANT SITE OF FIRST RECURRENCE 3..: DATE OF LAST CONTACT OR DEATH......: VITAL STATUS.......................: CANCER STATUS......................: COMPLETED BY.......................: REVIEWED BY CANCER COMMITTEE.......: The Accession Year is not 1998. The Diagnostic Confirmation code is not 1 (Positive histology). The Class of Case code is not 1, 2 or 6. The Behavior Code is not 2 (In situ) or 3 (Malignant). Sex is neither 1 (Male) nor 2 (Female). Female patient has neither DCIS nor AJCC tumor size of T1mic or T1a. Select Table 1998 Patient Care Evaluation Study of Breast Cancer 1998 Patient Care Evaluation Study of Breast Cancer 1. INSTITUTION ID NUMBER 2. ACCESSION NUMBER 3. SEQUENCE NUMBER 4. POSTAL CODE AT DIAGNOSIS 5. DATE OF BIRTH 7. SPANISH ORIGIN 9. PRIMARY PAYER AT DIAGNOSIS 10. FAMILY HISTORY OF BREAST CANCER 11. (F) PERSONAL HISTORY OF BREAST CANCER 12. SYNCHRONOUS BREAST CANCER 13. PERSONAL HISTORY OF OTHER CANCER 14. (F) HORMONE REPLACEMENT THERAPY 15. (F) HOW MANY YEARS OF HORMONE REPLACEMENT THERAPY 1. INSTITUTION ID NUMBER 2. ACCESSION NUMBER 3. SEQUENCE NUMBER 4. POSTAL CODE AT DIAGNOSIS 5. DATE OF BIRTH 7. SPANISH ORIGIN 9. PRIMARY PAYER AT DIAGNOSIS 1. INSTITUTION ID NUMBER..........: H6 TABLE I - GENERAL INFORMATION 2. ACCESSION NUMBER...............: 3. SEQUENCE NUMBER................: 9 4. POSTAL CODE AT DIAGNOSIS....... 5. DATE OF BIRTH..................: 9 7. SPANISH ORIGIN................. 18 9. PRIMARY PAYER AT DIAGNOSIS..... 10. FAMILY HISTORY OF BREAST CANCER: 901 MATERNAL AUNT.................. 902 MATERNAL GRANDMOTHER........... 904 ONE SISTER ONLY................ 905 MORE THAN ONE SISTER........... 908 POSITIVE FAMILY HISTORY, NOS... 11. (F) PERSONAL HISTORY OF BREAST CANCER.........................: (Data Item for Females Only) 909 11. (F) PERSONAL HISTORY OF BREAST CANCER......................... 910 12. SYNCHRONOUS BREAST CANCER...... 13. PERSONAL HISTORY OF OTHER CANCER: OVARY (F)......................: (Data Item for Females Only) UTERUS (F).....................: (Data Item for Females Only) PROSTATE (M)...................: (Data Item for Males Only) 14. (F) HORMONE REPLACEMENT THERAPY: (Data Item for Females Only) 916 14. (F) HORMONE REPLACEMENT THERAPY 15. (F) HOW MANY YEARS OF HORMONE REPLACEMENT THERAPY............: NA REPLACEMENT THERAPY............: Unknown REPLACEMENT THERAPY............: (Data Item for Females Only) 917 15. (F) HOW MANY YEARS OF HORMONE REPLACEMENT THERAPY............ GO TO ITEM NUMBER: CHOOSE FROM: 16. CLASS OF CASE 17. DIAGNOSTIC EVALUATION 18. (F) TYPE OF MAMMOGRAM 19. (F) PRESENTATION OF MOST DEFINITIVE MAMMOGRAM 20. DATE OF INITIAL DIAGNOSIS 21. DATE OF PATHOLOGIC DIAGNOSIS 22. PRIMARY SITE (ICD-O-2) 24. BEHAVIOR CODE(ICD-O-2) 25. IF INVASIVE DUCTAL CARCINOMA REPORTED, IS DCIS ALSO PRESENT 27. ARCHITECTURE PATTERN IF DCIS IS PRESENT 28. NUCLEAR GRADE IF DCIS IS PRESENT 29. DIAGNOSTIC CONFIRMATION 30. (M) LEVEL OF INVOLVEMENT 31. BIOPSY PROCEDURE 33. PALPABILITY OF PRIMARY 34. FIRST DETECTED BY 24. BEHAVIOR CODE (ICD-O-2) TABLE II - INITIAL DIAGNOSIS 16. CLASS OF CASE.................: 17. DIAGNOSTIC EVALUATION: MAMMOGRAM (M).................: (Data Item for Males Only) 18. (F) TYPE OF MAMMOGRAM: A. MAMMOGRAM GIVEN, TYPE UNKNOWN.: (Data Item for Females Only) B. SCREENING MAMMOGRAM...........: (Data Item for Females Only) C. DIAGNOSTIC MAMMOGRAM..........: (Data Item for Females Only) D. MAGNIFICATION MAMMOGRAM.......: (Data Item for Females Only) 918 A. MAMMOGRAM GIVEN, TYPE UNKNOWN. 920 B. SCREENING MAMMOGRAM........... 922 C. DIAGNOSTIC MAMMOGRAM.......... 924 D. MAGNIFICATION MAMMOGRAM....... 19. (F) PRESENTATION OF MOST DEFINITIVE MAMMOGRAM..........: (Data Item for Females Only) 928 19. (F) PRESENTATION OF MOST DEFINITIVE MAMMOGRAM.......... 20. DATE OF INITIAL DIAGNOSIS.....: 929 21. DATE OF PATHOLOGIC DIAGNOSIS.. 22. PRIMARY SITE (ICD-O-2)........: 24. BEHAVIOR CODE (ICD-O-2).......: 25. IF INVASIVE DUCTAL CARCINOMA REPORTED, IS DCIS ALSO PRESENT: NA, reported tumor not invasive DC 930 25. IF INVASIVE DUCTAL CARCINOMA REPORTED, IS DCIS ALSO PRESENT 931 27. ARCHITECTURE PATTERN IF DCIS IS PRESENT.................... 932 28. NUCLEAR GRADE IF DCIS IS PRESENT....................... 26. DIAGNOSTIC CONFIRMATION.......: 30. (M) LEVEL OF INVOLVEMENT: SKIN..........................: (Data Item for Males Only) CHEST WALL....................: (Data Item for Males Only) PECTORAL MUSCLES..............: (Data Item for Males Only) DERMAL/LYMPHATIC..............: (Data Item for Males Only) 934 CHEST WALL.................... 935 PECTORAL MUSCLES.............. DIAGNOSTIC AND STAGING PROCEDURES 141 31. BIOSPY PROCEDURE.............. 32. GUIDANCE......................: Not guided, no biopsy 32. GUIDANCE......................: Unknown/death cert only 143 33. PALPABILITY OF PRIMARY........ 144 34. FIRST DETECTED BY............. 35. (M) DNA INDEX/PLOIDY 36. ESTROGEN RECEPTOR PROTEIN 37. PROGESTERONE RECEPTOR PROTEIN 38. (M) ANDROGEN RECEPTOR PROTEIN 39. TYPE OF TEST TABLE III - TUMOR MARKERS AND PROGNOSTIC TESTS 35. (M) DNA INDEX/PLOIDY.........: (Data Item for Males Only) 937 35. (M) DNA INDEX PLOIDY......... 36. ESTROGEN RECEPTOR PROTEIN....: 37. PROGESTERONE RECEPTOR PROTEIN: 38. (M) ANDROGEN RECEPTOR PROTEIN: (Data Item for Males Only) 940 38. (M) ANDROGEN RECEPTOR PROTEIN 39. TYPE OF TEST.................: Neither ERA nor PRA was done 39. TYPE OF TEST.................: Unknown if ERA/PRA was done 941 39. TYPE OF TEST................. 40. SIZE OF TUMOR (mm) 41. SIZE OF DCIS TUMOR (mm) 42. REGIONAL NODES EXAMINED 43. REGIONAL NODES POSITIVE 44. SENTINEL NODE BIOSPY 45. NUMBER OF SENTINEL NODES EXAMINED 46. NUMBER OF SENTINEL NODES POSITIVE 47. SENTINEL NODE DETECTED BY 48. AJCC CLINICAL STAGE (cTNM) 49. AJCC PATHOLOGIC STAGE (pTNM) 50. STAGED BY TABLE IV - EXTENT OF DISEASE AND AJCC STAGE 29 40. SIZE OF TUMOR (mm)....... 41. SIZE OF DCIS TUMOR (mm)..: NA, reported tumor not invasive DC 942 41. SIZE OF DCIS TUMOR (mm).. 33 42. REGIONAL NODES EXAMINED.. 32 43. REGIONAL NODES POSITIVE.. SENTINEL NODES 943 44. SENTINEL NODE BIOPSY..... 45. NUMBER OF SENTINEL NODES 46. NUMBER OF SENTINEL NODES POSITIVE.................: None examined 47. SENTINEL NODE DETECTED BY: NA, not done EXAMINED.................: Unknown if examined POSITIVE.................: Unknown if positive 47. SENTINEL NODE DETECTED BY: Method unknown 944 45. NUMBER OF SENTINEL NODES EXAMINED................. 945 46. NUMBER OF SENTINEL NODES POSITIVE................. 946 47. SENTINEL NODE DETECTED BY 48. AJCC CLINICAL STAGE (cTNM): 49. AJCC PATHOLOGIC STAGE (pTNM): 50. STAGED BY: 19 CLINICAL STAGE........... 89 PATHOLOGIC STAGE......... NON CANCER-DIRECTED SURGERY CANCER-DIRECTED SURGERY HORMONE THERAPY TABLE V - FIRST COURSE OF TREATMENT 51. DATE OF FIRST COURSE TREATMENT: NON CANCER-DIRECTED SURGERY 52. DATE OF NON CANCER-DIRECTED 53. NON CANCER-DIRECTED SURGERY...: CANCER-DIRECTED SURGERY 54. DATE (FIRST) OF CANCER- DIRECTED SURGERY..............: 55. SURGICAL APPROACH.............: 56. SURGERY OF PRIMARY SITE.......: 57. SPECIMEN RADIOGRAPH...........: NA 57. SPECIMEN RADIOGRAPH...........: Unknown 947 57. SPECIMEN RADIOGRAPH........... 58. SURGICAL MARGINS..............: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################