English French Notes Complete/Exclude 24. REGIONAL NODES EXAMINED.........: 25. REGIONAL NODES POSITIVE.........: 26. EXTRANODAL EXTENSION............: SATELLITE NODULES OF SKIN OR SUBCUTANEOUS TISSUE 28. NUMBER OF SATELLITE NODULES.....: 29. LOCATION OF IN-TRANSIT NODULES..: 31. CLARK'S LEVEL OF INVASION.......: 32. ANGIOLYMPHATIC INVASION.........: 33. PERINEURAL INVASION.............: 34. GENERAL SUMMARY STAGE...........: 35. AJCC CLINICAL STAGE (cTNM): AJCC STAGE.....................: 37. CLINICALLY AMELANOTIC...........: 38. AJCC PATHOLOGIC STAGE (pTNM): 39. STAGED BY: CLINICAL STAGE.................: PATHOLOGIC STAGE...............: 40. PROTOCOL ELIGIBILITY STATUS.....: 41. PROTOCOL PARTICIPATION..........: 42. DATE OF FIRST COURSE TREATMENT..: 43. DATE OF NON CA-DIRECTED SURGERY.: 44. NON CANCER-DIRECTED SURGERY.....: 45. TYPE OF BIOSPY..................: 46. DATE OF CANCER-DIRECTED SURGERY.: 47. SURGICAL APPROACH...............: 48. SURGERY OF PRIMARY SITE.........: 49. SURGICAL MARGINS................: 50. DISTANCE FROM TUMOR TO EDGE OF 51. SCOPE OF LYMPH NODE SURGERY.....: 52. NUMBER OF LYMPH NODES REMOVED...: 53. SURGERY OF OTHER REGIONAL SITE(S), DISTANT SITE(S), OR DISTANT LYMPH NODE(S)........: 55. SURGICAL CLOSURE................: 56. REASON FOR NO SURGERY...........: 57. PRE-OP LYMPHOSCINTIGRAPHY.......: 58. SENTINEL NODES DETECTED BY......: 59. SENTINEL NODE BIOPSY............: 60. SENTINEL NODES EXAMINED.........: 61. SENTINEL NODES POSITIVE.........: 62. HOW WAS SENTINEL NODE PATHOLOGICALLY EXAMINED.........: 63. IF SENTINEL NODE(S) POSITIVE: WAS COMPLETE LYMPH NODE DISSECTION PERFORMED..........: NUMBER OF BASINS DETECTED.....: NUMBER OF BASINS POSITIVE.....: 64. DATE RADIATION STARTED..........: 65. RADIATION THERAPY...............: 66. REASON FOR NO RADIATION ........: 67. DATE CHEMOTHERAPY STARTED.......: 69. INTRAVENOUS THERAPY.............: 70. DATE HORMONE THERAPY STARTED....: 71. HORMONE THERAPY.................: IMMUNOTHERAPY THERAPY 72. DATE IMMUNOTHERAPY STARTED......: 74. IMMUNOTHERAPEUTIC AGENTS ADMINISTERED: VACCINE THERAPY................: GENE THERAPY...................: COLONY STIMULATING FACTORS.....: OTHER GIVEN, TYPE UNKNOWN......: OTHER THERAPY 75. DATE OTHER TREATMENT STARTED....: 76. OTHER TREATMENT.................: 77. DATE OF FIRST RECURRENCE........: 78. TYPE OF FIRST RECURRENCE........: 79. OTHER TYPE OF FIRST RECURRENCE..: 80. DATE OF LAST CONTACT OR DEATH...: 81. VITAL STATUS....................: 82. CANCER STATUS...................: TABLE VII - OTHER INFORMATION 83. COMPLETED BY....................: 84. REVIEWED BY CANCER COMMITTEE....: The BEHAVIOR code is not 3 (malignant). 8:Print Non-Hodgkin's Lymphoma PCE Patient Care Evaluation Study of Non-Hodgkin's Lymphoma AGE AT DIAGNOSIS PERSONAL HISTORY OF ANY CANCER PRE-EXISTING CONDITIONS PREVIOUS CHEMOTHERAPY/RADIATION THERAPY AIDS RISK CATEGORY AIDS RISK CATEGOR AGE AT DIAGNOSIS.....................: 313 OTHER CANCER....................... PERSONAL HISTORY OF ANY CANCER: 803 1ST PRIMARY SITE................... 803 1ST PRIMARY SITE...................// 804 1ST PRIMARY HISTOLOGY.............. 804 1ST PRIMARY HISTOLOGY..............// 805 2ND PRIMARY SITE................... 805 2ND PRIMARY SITE...................// 806 2ND PRIMARY HISTOLOGY.............. 806 2ND PRIMARY HISTOLOGY..............// PRE-EXISTING CONDITIONS: 807 ORGAN TRANSPLANT................... 808 HIV POSITIVE....................... 809 CROHN'S DISEASE/ULCERATIVE COLITIS. 811 SYSTEMIC LUPUS ERYTHEMATOSUS....... 812 RHEUMATOID ARTHRITIS/SJOGREN'S SYN. 813 PNEUMOCYSTIS CARINII............... 814 CMV INFECTION...................... 816 MYCOBACTERIUM AVIUM................ 817 OTHER PARASITIC INFECTIONS......... 818 OTHER CONGENTIAL DISEASES.......... 819 OPPORTUNISTIC DISEASE (W/I 2 YEARS) PREVIOUS CHEMOTHERAPY/RADIATION THERAPY: 821 RADIATION THERAPY.................. 822AIDS RISK CATEGORY................... DIAGNOSTIC WORKUP RESULTS OF LABORATORY TESTS ADDITIONAL TESTS REVIEW OF PATHOLOGY/OTH INST DIAGNOSTIC BIOPSIES SYSTEMIC SYMPTOMS DIAGNOSTIC TEST SPECIFICALLY RELATED TO HIV DISEASE HIV VIRAL LOADS SPECIFIC HISTOLOGIC INFORMATION CELL TYPE OF LYMPHOMA PATIENT STATUS AT DIAGNOSIS CLASS OF CLASS..............: 26DIAGNOSTIC CONFIRMATION..... DIAGNOSTIC WORKUP: 823 CT SCAN OF BRAIN.......... 506 CT SCAN OF CHEST.......... 824 CT SCAN OF ABDOMEN/PELVIS. 825 MRI OF BRAIN.............. 826 MRI OF CHEST.............. 827 MRI OF ABDOMEN/PELVIS..... 504 BONE SCAN................. 828 GALLIUM SCAN.............. 829 PET SCAN.................. 830 LUMBAR PUNCTURE........... RESULTS OF LABORATORY TESTS: 832 WHITE COUNT............... 833 PLATELET COUNT............ 834 LACTIC DEHYDROGENASE (LDH) 835 LIVER FUNCTION STUDIES.... 836 TOTAL PROTEIN/ALBUMIN..... ADDITIONAL TESTS: 516 TUMOR SURFACE MARKER...... 514 CYTOGENETIC TESTING....... 837 GENE REARRANGEMENTS....... 838REVIEW OF PATHOLOGY/OTH INST DIAGNOSTIC BIOPSIES: 839 LYMPH NODE................ 840 BONE MARROW............... 841 CSF CYTOLOGY.............. 842 OTHER SITE................ 843SYSTEMIC SYMPTOMS........... DIAGNOSTIC TESTS SPECIFICALLY RELATED TO HIV DISEASE: 845 HIV VIRAL LOADS........... DATE OF INITIAL DIAGNOSIS...: PRIMARY SITE................: HISTOLOGY/BEHAVIOR CODE.....: 846SPECIFIC HISTOLOGIC INFO.... 847CELL TYPE OF LYMPHOMA....... 848PATIENT STATUS AT DIAGNOSIS. AJCC CLINICAL STAGE GROUP CLINICALLY STAGED BY AJCC PATHOLOGIC STAGE GROUP PATHOLOGICALLY STAGED BY TYPE OF STAGING SYSTEM (PEDIATRIC) PEDIATRIC STAGE STAGED BY (PEDIATRIC STAGE) EXTRANODAL SITES AJCC CLINICAL STAGE GROUP......: 19CLINICALLY STAGED BY........... AJCC PATHOLOGIC STAGE GROUP ...: 89PATHOLOGICALLY STAGED BY....... 849TYPE OF STAGING SYS (PEDIATRIC) 850PEDIATRIC STAGE................ 851STAGED BY (PEDIATRIC STAGE).... EXTRANODAL SITES: 852 EXTRANODAL SITE 1............ 853 EXTRANODAL SITE 2............ 854 EXTRANODAL SITE 3............ DATE OF FIRST COURSE OF TREATMENT SYSTEMIC CHEMOTHERAPY INTRATHECAL CHEMOTHERAPY DATE OF FIRST COURSE OF TREATMENT.: EXTRANODAL SURGERY SITE.........: None EXTRANODAL SURGICAL PROCEDURE...: 00 No additional surgical procedures 855 EXTRANODAL SURGERY SITE......... 856 EXTRANODAL SURGICAL PROCEDURE... RADIATION DATE..................: IRRADIATED FIELDS: LYMPH NODES ABOVE DIAPHRAGM...: Not irradiated LYMPH NODES BELOW DIAPHRAGM...: Not irradiated BRAIN.........................: Not irradiated OTHER EXTRANODAL SITE(S)......: Not irradiated TOTAL BODY....................: Not irradiated RADIATION/CHEMOTHERAPY SEQUENCE.: NA, no radiation and/or no chemo given LYMPH NODES ABOVE DIAPHRAGM...: NA, unknown if radiation therapy given LYMPH NODES BELOW DIAPHRAGM...: NA, unknown if radiation therapy given BRAIN.........................: NA, unknown if radiation therapy given OTHER EXTRANODAL SITE(S)......: NA, unknown if radiation therapy given TOTAL BODY....................: NA, unknown if radiation therapy given RADIATION/CHEMOTHERAPY SEQUENCE.: Unknown if radiation and/or chemo given 857 LYMPH NODES ABOVE DIAPHRAGM... 858 LYMPH NODES BELOW DIAPHRAGM... 860 OTHER EXTRANODAL SITE(S)...... 861 TOTAL BODY.................... 862 RADIATION/CHEMOTHERAPY SEQUENCE. 864 SYSTEMIC CHEMOTHERAPY........... SYSTEMIC CHEMOTHERAPY DATE......: 00/00/0000 NUMBER OF PLANNED CYCLES........: NA AGENT ADMINISTERED DURING SYSTEMIC CHEMOTHERAPY: SINGLE-AGENT CHEMOTHERAPY: CHLORAMBUCIL.....: NA DOXORUBICIN......: NA CYCLOPHOSPHAMIDE.: NA FLUDARABINE......: NA COMBINATION CHEMOTHERAPY: CVP..............: NA PRO-MACE-Cyta BOM: NA COMLA............: NA OTHER............: NA HIGH DOSE W STEM CELL RESCUE..: No NUMBER OF PLANNED CYCLES........: Unknown if chemotherapy given CHLORAMBUCIL.....: Unknown if given DOXORUBICIN......: Unknown if given CYCLOPHOSPHAMIDE.: Unknown if given FLUDARABINE......: Unknown if given CHOP.............: Unknown if given M-BACOD..........: Unknown if given CVP..............: Unknown if given PRO-MACE-Cyta BOM: Unknown if given COMLA............: Unknown if given OTHER............: Unknown if given MACOP-B..........: Unknown if given HIGH DOSE W STEM CELL RESCUE..: Unknown if given 865 SYSTEMIC CHEMOTHERAPY DATE...... 866 NUMBER OF PLANNED CYCLES........ 876 PRO-MACE-Cyta BOM........... 878 HIGH DOSE W STEM CELL RESCUE.... 879 INTRATHECAL CHEMOTHERAPY........ PURPOSE.........................: NA, not administered PURPOSE.........................: Unknown if administered 883 MONOCLONAL ANTIBODIES........... 884 VACCINE THERAPY................. OTHER TYPE OF FIRST RECURRENCE 71.4OTHER TYPE OF FIRST RECURRENCE 1. INSTITUTION ID NUMBER...........: H6 6. AGE AT DIAGNOSIS................: 8. SPANISH ORIGIN..................: 10. PRIMARY PAYER AT DIAGNOSIS......: 11. FAMILY HISTORY OF CANCER: OTHER CANCER..................: 12. PERSONAL HISTORY OF ANY CANCER: 1ST PRIMARY SITE..............: 1ST PRIMARY HISTOLOGY.........: 2ND PRIMARY SITE..............: 2ND PRIMARY HISTOLOGY.........: 13. PRE-EXISTING CONDITIONS: ORGAN TRANSPLANT..............: HIV POSITIVE..................: CROHN'S DIS/ULCERATIVE COLITIS: SYSTEMIC LUPUS ERYTHEMATOSUS..: RHEUMATOID ARTHRITIS/SJOGREN'S: PNEUMOCYSTIS CARINII..........: CMV INFECTION.................: MYCOBACTERIUM AVIUM...........: OTHER PARASITIC INFECTIONS....: OTHER CONGENITAL DISEASES.....: OPPORTUNISTIC DISEASE.........: 14. PREVIOUS CHEMOTHERAPY/RADIATION THERAPY: RADIATION THERAPY.............: 15. AIDS RISK CATEGORY..............: Print Non-Hodgkin's Lymphoma PCE PCE Study of Non-Hodgkin's Lymphoma 16. CLASS OF CASE...................: 17. DIAGNOSTIC CONFIRMATION.........: 18. DIAGNOSTIC WORKUP: CT SCAN OF BRAIN..............: CT SCAN OF CHEST..............: CT SCAN OF ABDOMEN/PELVIS.....: MRI OF BRAIN..................: MRI OF CHEST..................: MRI OF ABDOMEN/PELVIS.........: BONE SCAN.....................: GALLIUM SCAN..................: PET SCAN......................: LUMBAR PUNCTURE...............: 19. RESULTS OF LABORATORY TESTS: WHITE COUNT...................: PLATELET COUNT................: LACTIC DEHYDROGENASE (LDH)....: LIVER FUNCTION STUDIES........: TOTAL PROTEIN/ALBUMIN.........: 20. ADDITIONAL TESTS: TUMOR SURFACE MARKER..........: CYTOGENETIC TESTING...........: GENE REARRANGEMENTS...........: 21. REVIEW OF PATHOLOGY/OTH INST....: 22. DIAGNOSTIC BIOPSIES: LYMPH NODE....................: BONE MARROW...................: CSF CYTOLOGY..................: OTHER SITE....................: 23. SYSTEMIC SYSTEMS................: 24. DIAGNOSTIC TESTS SPECIFICALLY RELATED TO HIV DISEASE: HIV VIRAL LOADS...............: 25. DATE OF INITIAL DIAGNOSIS.......: 26. PRIMARY SITE....................: 27. HISTOLOGY/29. BEHAVIOR CODE.....: 28. SPECIFIC HISTOLOGIC INFO........: 30. CELL TYPE OF LYMPHOMA...........: 31. PATIENT STATUS OF DIAGNOSIS.....: 32. AJCC CLINICAL STAGE GROUP.......: 33. CLINICALLY STAGED BY............: 34. AJCC PATHOLOGIC STAGE GROUP.....: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################