English French Notes Complete/Exclude DIAGNOSITC INFORMATION HISTOLOGY (ICD-O) DIFFERENTIATION/GRADE GLEASON'S SCORE DIAGNOSTIC INFORMATION METHOD OF DIAGNOSIS: 600 CLINICAL DX WITH BONE LESION 601 CLINICAL DX BY RECTAL EXAM.. 603 INCIDENTAL FINDING IN TURP.. 604 NEEDLE ASPIRATION BIOPSY.... 605 NEEDLE BIOPSY, NOS.......... 606 PERINEAL BIOPSY............. 607 TRANSRECTAL BIOPSY.......... 608 TRUS GUIDED BIOPSY.......... 609 TRANSURETHRAL RESECTION, NOS DATE OF INITIAL DIAGNOSIS.....: 611 BONE MARROW ASPIRATION...... 612 BONE SCAN................... 615 CT SCAN OF PRIMARY SITE..... 617 LIVER SCAN.................. 619 PELVIC LYMPH NODE DISSECTION TABLE III - STAGE OF DISEASE 38 AJCC STAGE..... 19 CLINICAL STAGED BY.. 88 AJCC STAGE..... 89 PATHOLOGIC STAGED BY RADIATON THERAPY TYPE OF SURGERY................: DATE OF SURGERY................: REASON FOR NO SURGERY..........: SURGICAL APPROACH..............: 624 RESEARCH PROTOCOL.............. 625 RADIATION THERAPY.............. DATE RADIATION THERAPY BEGAN...: 626 INTERSTITIAL RADIATION......... INTERSTITIAL RADIATION ADMINISTERED: 631 OTHER INTERSTITIAL, NOS...... 632 EXTERNAL RADIATION............. EXTERNAL RADIATION ADMINISTERED: 633 PROSTATE REGION ONLY......... 634 PROSTATE/PELVIC NODES........ 635 PARA-AORTIC NODES............ 636 DISTANT METASTATIC SITES..... 637 OTHER EXTERNAL SITES, NOS.... TOTAL RAD DOSE: 639 PELVIC NODES................. 640 PARA-AORTIC NODES............ 641 RESEARCH PROTOCOL.............. HORMONE THERAPY: 642 HORMONE THERAPY................ DATE HORMONE THERAPY BEGAN.....: HORMONES ADMINISTERED: 645 PROGESTATIONAL AGENTS........ 646 LUTEINIZING HORMONE-RELEASING METHODS USED TO DIAGNOSE FIRST RECURRENCE 71TYPE OF FIRST RECURRENCE........ 70DATE OF FIRST RECURRENCE........ METHODS USED TO DIAGNOSE FIRST RECURRENCE: 650 BONE SCAN..................... 652 RECTAL EXAM WITH NEEDLE BIOSPY 653 TUMOR MARKER ELEVATION........ 654 WEIGHT LOSS................... TABLE VI - SUBSEQUENT TREATMENT 656REASON FOR SECOND COURSE OF THERAPY SUBSEQUENT SURGERY # TYPE OF SURGERY....................: DATE OF SURGERY....................: SUBSEQUENT RADIATION THERAPY # 16RADIATION THERAPY.................. DATE RADIATON THERAPY BEGAN........: 4INTERSTITIAL RADIATION............. 9 OTHER INTERSTITIAL, NOS........ 10EXTERNAL RADIATION................. 11 PROSTATE REGION ONLY........... 12 PROSTATE & PELVIC NODES........ 13 PARA-AORTIC NODES.............. 14 DISTANT METASTATIC SITES....... 15 OTHER EXTERNAL, NOS............ 18 PELVIC NODES................... 19 PARA-AORTIC NODES.............. SUBSEQUENT CHEMOTHERAPY # DATE CHEMOTHERAPY BEGAN............: DRUGS ADMINISTERED: SUBSEQUENT HORMONE THERAPY # 26HORMONE THERAPY.................... DATE HORMONE THERAPY BEGAN.........: 29 PROGESTATIONAL AGENTS.......... 30 LUTEINIZING HORMONE-RELEASING.. ACCESSION/SEQUENCE NUMBER..........: CLASS OF CASE......................: ZIP CODE...........................: BIRTHDATE..........................: RACE...............................: PRIMARY PAYER AT DIAGNOSIS.........: DATE OF ADMISSION..................: DATE OF DISCHARGE..................: CLINICAL DX WITH BONE LESION.....: CLINICAL DX BY RECTAL EXAM.......: INCIDENTAL FINDING IN TURP.......: NEEDLE ASPIRATION BIOPSY.........: NEEDLE BIOPSY, NOS...............: PERINEAL BIOPSY..................: TRANSRECTAL BIOPSY...............: TRUS GUIDED BIOPSY...............: TRANSURETHRAL RESECTION, NOS.....: DATE OF INITIAL DIAGNOSIS..........: BONE MARROW ASPIRATION...........: BONE SCAN........................: CT SCAN OF PRIMARY SITE..........: LIVER SCAN.......................: PELVIC LYMPH NODE DISSECTION.....: HISTOLOGY (ICD-O)..................: DIFFERENTIATION/GRADE..............: GLEASON'S SCORE....................: AJCC STAGE....................: CLINICAL STAGE..................: PATHOLOGIC STAGE.................: Print Prostate PCE Data. PCE Studies of Cancer of the Prostate REASON FOR NO SURGERY.............: SURGICAL APPROACH.................: RESEARCH PROTOCOL.................: DATE RADIATION THERAPY BEGAN......: INTERSTITIAL RADIATION............: OTHER INTERSTITIAL, NOS.........: EXTERNAL RADIATION................: PROSTATE REGION ONLY............: PROSTATE/PELVIC NODES...........: PARA-AORTIC NODES...............: DISTANT METASTATIC SITES........: OTHER EXTERNAL SITES, NOS.......: PELVIC NODES....................: RESEARCH PROTOCOL...............: HORMONE THERAPY...................: DATE HORMONE THERAPY BEGAN........: PROGESTATIONAL AGENTS...........: LUTEINIZING HORMONE-RELEASING...: BONE SCAN.........................: RECTAL EXAM WITH NEEDLE BIOSPY....: TUMOR MARKER ELEVATION............: WEIGHT LOSS.......................: REASON FOR SECOND COURSE OF THERAPY: RADIATION THERAPY..................: INTERSTITIAL RADIATION.............: OTHER INTERSTITIAL, NOS........: EXTERNAL RADIATION.................: PROSTATE REGION ONLY...........: PROSTATE & PELVIC NODES........: PARA-AORTIC NODES..............: DISTANT METASTATIC SITES.......: OTHER EXTERNAL, NOS............: PELVIC NODES...................: CHEMOTHERAPY.......................: HORMONE THERAPY....................: PROGESTATIONAL AGENTS..........: LUTEINIZING HORMONE-RELEASING..: DATE OF LAST CONTACT OR DEATH.....: VITAL STATUS......................: CANCER STATUS.....................: AUTOPSY...........................: COMPLETED BY......................: REVIEWED BY CANCER COMMITTEE......: Checking for any duplicates in ICDO MORHOLOGY (#164.1) file... MARGINAL ZONE LYMPHOMA, NOS IN MARGINAL ZONE LYMPHOMA, NOS Converting file #165.5 pointers... CANNOT CONVERT POINTER IN ENTRY NUMBER: Converting file #160 pointers... Converting file #169.1 pointers... Converting file #164.1 pointers... Converting file #164.2 pointers... .01///MARGINAL ZONE LYMPHOMA, NOS IN SITU .01///MARGINAL ZONE LYMPHOMA, NOS Tumor Size...................: Lymph Node...................: Regional Lymph Nodes Examined: Regional Lymph Nodes Positive: SEER Summary Stage 2000......: Site of Distant Metastasis #1: Site of Distant Metastasis #2: Site of Distant Metastasis #3: Clinical Staging TNM edition: Pathologic Staging TNM........: Stage Group: Stage Group: Staged By..: Staged By..: Lymphatic Vessel Invasion (L): Venous Invasion (V)..........: Other Stage..................: Restaging primaries with an ICD0-TOPOGRAPHY of C21.0, C53.0 or C31.8 and a DATE DX > 12/31/91. Restaging primary for patient Reindexing ATX cross-reference... .01 USUAL OCCUPATION........... 3 USUAL INDUSTRY............. 38 TOBACCO HISTORY............ .01 TYPE OF TOBACCO USER....... 2 YR QUIT TOBACCO USE........ 39 ALCOHOL HISTORY............ .01 TYPE OF ALCOHOL USER....... 1 YRS OF ALCOHOL USE......... 2 DRINKS PER DAY............. 3 YR QUIT DRINKING........... 43 FAMILY HISTORY OF CANCER... .01 FAMILY MEMBER WITH CANCER.. **NOTE** CLASS OF CASE = 4 (Dx/1st tx before ref date) The @FAC (at this facility) fields will be stuffed to match the primary treatment fields. 0 (Dx here, 1st tx ew) 3 (Dx ew, 1st tx ew) 6 (Dx/1st tx in MD office) **NOTE** CLASS OF CASE = appropriate value indicating that no treatment was given at this facility. SURGICAL DIAGNOSTIC AND STAGING PROCEDURES Surgical Dx/Staging Proc.....: Surg Dx/Staging Proc @fac....: SURGICAL PROCEDURES (ROADS) Pre-2003 cases require the following ROADS surgery items to be coded: Surgery of primary.........(R): Surgical Approach..........(R): Surgery of primary @fac....(R): Scope of ln surgery........(R): Number of LN removed...... (R): Scope of ln surgery @fac...(R): Number of LN removed @fac..(R): Surg proc/other site.......(R): Surg proc/other site @fac..(R): SURGICAL PROCEDURES (FORDS) Date of 1st Surgical Procedure: Surgery of primary.........(F): Surgery of primary @fac....(F): Surgical margins..............: Scope of ln surgery........(F): Scope of ln surgery @fac...(F): Surg proc/other site.......(F): Surg proc/other site @fac..(F): Date of surgical discharge....: Reason for no surgery.........: Date radiation started........: Location of radiation tx......: Radiation treatment volume....: Regional treatment modality...: Regional dose:cGy.............: Boost treatment modality......: Boost dose:cGy................: Number of txs to this volume..: Radiation/surgery sequence....: Date radiation ended..........: Reason for no radiation.......: SYSTEMIC THERAPY Date systemic therapy started.: Hormone therapy...............: Hormone therapy @fac..........: Hema Trans/Endocrine Proc.....: OTHER TREATMENT Other treatment...............: Other treatment @fac..........: PALLIATIVE PROCEDURE/PROTOCOL PARTICIPATION Pain assessment...............: Palliative procedure..........: Palliative procedure @fac.....: Protocol eligibility status...: Protocol participation........: Year put on protocol..........: Histology code is incompatible. NOTE: Papillary or Follicular IS PU00 IS PD00 The Accession Year is not 1996. The Class of Case code is not 1 or 2. Skin sites are only allowed for patients with dermatofibrosarcoma. 8:Print Soft Tissue Sarcoma PCE Patient Care Evaluation Study of Soft Tissue Sarcoma FAMILY HISTORY OF SOFT TISSUE SARCOMA 500FAMILY HISTORY OF SOFT TISSUE SARCOMA 501PERSONAL HISTORY OF ANY CANCER....... HISTOLOGIC WORKUP OUTSIDE CONFIRMATION OF BIOPSY ADDNL GRADE CODING SYSTEM VALUE OF ADDNL CODING SYSTEM TABLE II- INITIAL DIAGNOSIS/CANCER IDENTIFICATION CLASS OF CLASS................: 502 ANGIOGRAM OF PRIMARY........ 503 BONE MARROW ASPIRATE/BIOPSY. 504 BONE SCAN................... 506 CT SCAN OF CHEST............ 507 CT SCAN OF PRIMARY.......... 508 LIVER FUNCTION STUDIES...... 510 MRI OF PRIMARY.............. 511 MRI OF OTHER................ HISTOLOGIC WORKUP: 515 ELECTRON MICROSCOPY......... 329 FLOW CYTOMETRY.............. 517 IN SITU HYBRIDIZATION....... 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