| [604] | 1 | English French Notes Complete/Exclude
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| 2 | 528 FINE NEEDLE ASPIRATION......
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| 3 | 529 CORE NEEDLE BIOPSY..........
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| 4 | 530 INCISIONAL BIOPSY...........
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| 5 | 531 EXCISIONAL BIOPSY...........
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| 6 | 518OUTSIDE CONFIRMATION OF BIOPSY
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| 7 | PRIMARY SITE..................:
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| 8 | HISTOLOGY/BEHAVIOR CODE.......:
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| 9 | 520ADDNL GRADE CODING SYSTEM.....
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| 10 | 521VALUE OF ADDNL CODING SYSTEM..
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| 11 | 26DIAGNOSTIC CONFIRMATION.......
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| 12 | PRETREATMENT TUMOR SIZE (mm)
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| 13 | PATHOLOGIC TUMOR SIZE (mm)
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| 14 | DEPTH OF TUMOR
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| 15 | 29PRETREATMENT TUMOR SIZE (mm)...
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| 16 | 522PATHOLOGIC TUMOR SIZE (mm).....
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| 17 | 523DEPTH OF TUMOR.................
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| 18 | CONSULTATIONS:
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| 19 | 524 MEDICAL ONCOLOGIST...........
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| 20 | 525 RADIATION ONCOLOGIST.........
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| 21 | TREATING SURGEON................: Not applicable, no surgery
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| 22 | ASA CLASS.......................: Class unknown or not applicable
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| 23 | POSTOPERATIVE DEATH.............: Not applicable, no surgery
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| 24 | 526 TREATING SURGEON................
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| 25 | 527 ASA CLASS.......................
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| 26 | 441 POSTOPERATIVE DEATH.............
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| 27 | EXTERNAL BEAM RADIATION.........: No
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| 28 | INTRAOPERATIVE RADIATION........: No
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| 29 | EXTERNAL BEAM RADIATION.........: Unknown
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| 30 | INTRAOPERATIVE RADIATION........: Unknown
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| 31 | 532 EXTERNAL BEAM RADIATION.........
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| 32 | 533 NUMBER OF FRACTIONS...........
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| 33 | 534 RADIATION ENERGY (MV).........
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| 34 | 567 DATE THERAPY STARTED..........
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| 35 | 361 DATE THERAPY ENDED............
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| 36 | 535 INTRAOPERATIVE RADIATION........
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| 37 | 537 RADIATION ENERGY (MV).........
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| 38 | 539 NUMBER OF DAYS GIVEN..........
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| 39 | 541 DATE THERAPY STARTED..........
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| 40 | 542 DATE THERAPY ENDED............
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| 41 | 51.3 RADIATION/SURGERY SEQUENCE......
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| 42 | NUMBER OF FRACTIONS...........: 000
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| 43 | RADIATION ENERGY (MV).........: 00
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| 44 | DATE THERAPY STARTED..........: 00/00/0000
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| 45 | DATE THERAPY ENDED............: 00/00/0000
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| 46 | NUMBER OF FRACTIONS...........: 999
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| 47 | RADIATION ENERGY (MV).........: 99
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| 48 | DATE THERAPY STARTED..........: 99/99/9999
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| 49 | DATE THERAPY ENDED............: 99/99/9999
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| 50 | NUMBER OF DAYS GIVEN..........: 000
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| 51 | NUMBER OF DAYS GIVEN..........: 999
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| 52 | DATE OF CHEMOTHERAPY............:
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| 53 | AGENTS ADMINISTERED, METHODS OF DELIVERY AND LOCATIONS:
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| 54 | CISPLATIN.........: No DOXORUBICIN.......: No
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| 55 | METHOD OF DELIVERY: Not applicable METHOD OF DELIVERY: Not applicable
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| 56 | LOCATION..........: Not applicable LOCATION..........: Not applicable
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| 57 | CYTOXAN...........: No ETOPOSIDE.........: No
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| 58 | DTIC..............: No IFOSFAMIDE........: No
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| 59 | METHOD OF DELIVERY..............: Not applicable
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| 60 | LOCATION........................: Not applicable
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| 61 | METHOD OF DELIVERY..............: Unknown
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| 62 | 547 METHOD OF DELIVERY..............
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| 63 | 548 METHOD OF DELIVERY..............
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| 64 | 549 METHOD OF DELIVERY..............
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| 65 | 550 METHOD OF DELIVERY..............
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| 66 | 551 METHOD OF DELIVERY..............
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| 67 | 552 METHOD OF DELIVERY..............
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| 68 | 559 COLONY STIMULATING FACTORS......
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| 69 | 560 NATIONAL TREATMENT PROTOCOL.....
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| 70 | 561 OTHER PROTOCOL..................
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| 71 | 562 REFERRED TO REHAB SERVICES......
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| 72 | 563 CONSULT W PHYSICAL THERAPY/REHAB
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| 73 | 564 TRANSFERRED TO REHAB FACILITY...
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| 74 | 565 NO OF HOSPITALIZATIONS W/I 6 MO.
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| 75 | 566 TOTAL LENGTH OF STAYS...........
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| 76 | DISTANT SITE(S) OF RECURRENCE
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| 77 | SUBSEQUENT TREATMENT FOR RECURRENCE OR PROGRESSION
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| 78 | TABLE V - FIRST RECURRENCE AND SUBSEQUENT TREATMENT
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| 79 | NO SUBSEQUENT TREATMENT
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| 80 | .07 HORMONE THERAPY
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| 81 | ACCESSION NUMBER..................:
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| 82 | SEQUENCE NUMBER...................:
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| 83 | POSTAL CODE AT DIAGNOSIS..........:
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| 84 | DATE OF BIRTH.....................:
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| 85 | RACE..............................:
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| 86 | SPANISH ORIGIN....................:
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| 87 | SEX...............................:
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| 88 | PRIMARY PAYER AT DIAGNOSIS........:
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| 89 | FAMILY HIST OF SOFT TISSUE SARCOMA:
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| 90 | PERSONAL HISTORY OF ANY CANCER....:
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| 91 | CLASS OF CASE.....................:
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| 92 | ANGIOGRAM OF PRIMARY............:
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| 93 | BONE MARROW ASPIRATE/BIOPSY.....:
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| 94 | BONE SCAN.......................:
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| 95 | CT SCAN OF CHEST................:
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| 96 | CT SCAN OF PRIMARY..............:
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| 97 | LIVER FUNCTION STUDIES..........:
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| 98 | MRI OF PRIMARY..................:
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| 99 | MRI OF OTHER....................:
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| 100 | ELECTRON MICROSCOPY.............:
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| 101 | FLOW CYTOMETRY..................:
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| 102 | IN SITU HYBRIDIZATION...........:
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| 103 | BIOPSIES: HISTOLOGY/BEHAVIOR/GRADE
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| 104 | FINE NEEDLE ASPIRATION..........:
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| 105 | CORE NEEDLE ASPIRATION..........:
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| 106 | INCISIONAL BIOPSY...............:
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| 107 | EXCISIONAL BIOPSY...............:
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| 108 | OUTSIDE CONFIRMATION OF BIOPSY....:
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| 109 | DATE OF INITIAL DIAGNOSIS.........:
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| 110 | PRIMARY SITE......................:
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| 111 | SUBSITE...........................:
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| 112 | HISTOLOGY/BEHAVIOR CODE...........:
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| 113 | GRADE.............................:
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| 114 | ADDNL GRADE CODING SYSTEM.........:
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| 115 | VALUE OF ADDNL CODING SYSTEM......:
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| 116 | DIAGNOSTIC CONFIRMATION...........:
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| 117 | PRETREATMENT TUMOR SIZE (mm)......:
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| 118 | PATHOLOGIC TUMOR SIZE (mm)........:
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| 119 | DEPTH OF TUMOR....................:
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| 120 | MULTIFOCAL........................:
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| 121 | REGIONAL NODES EXAMINED...........:
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| 122 | REGIONAL NODES POSITIVE...........:
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| 123 | SITE OF DISTANT METASTASIS #1...:
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| 124 | SITE OF DISTANT METASTASIS #2...:
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| 125 | SITE OF DISTANT METASTASIS #3...:
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| 126 | AJCC STAGE......................:
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| 127 | CLINICAL STAGED BY..............:
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| 128 | PATHOLOGIC STAGED BY............:
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| 129 | MEDICAL ONCOLOGIST..............:
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| 130 | RADIATION ONCOLOGIST............:
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| 131 | Print Soft Tissue Sarcoma PCE
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| 132 | PCE Study of Soft Tissue Sarcoma
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| 133 | FIRST COURSE TREATMENT DATE.......:
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| 134 | RESIDUAL PRIMARY TUMOR..........:
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| 135 | TREATING SURGEON................:
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| 136 | ASA CLASS.......................:
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| 137 | POSTOPERATIVE DEATH.............:
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| 138 | EXTERNAL BEAM RADIATION...:
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| 139 | BRACHYTHERAPY...........:
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| 140 | NUMBER OF FRACTIONS.......:
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| 141 | NUMBER OF DAYS GIVEN....:
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| 142 | DOSE....................:
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| 143 | RADIATION ENERGY (MV).....:
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| 144 | DATE THERAPY STARTED....:
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| 145 | DATE THERAPY STARTED......:
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| 146 | DATE THERAPY ENDED......:
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| 147 | DATE THERAPY ENDED........:
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| 148 | INTRAOPERATIVE RADIATION..:
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| 149 | RADIATION/SURGERY SEQUENCE:
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| 150 | DATE OF CHEMOTHERAPY:
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| 151 | AGENT ADMINISTERED METHOD OF DELIVERY LOCATION
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| 152 | COLONY STIMULATION FACTOR........:
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| 153 | NATIONAL TREATMENT PROTOCOL......:
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| 154 | OTHER PROTOCOL...................:
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| 155 | REFERRED TO REHAB SERVICES.......:
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| 156 | CONSULT W PHYSICAL THERAPY/REHAB.:
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| 157 | TRANSFERRED TO REHAB FACILITY....:
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| 158 | NO OF HOSPITALIZATIONS W/I 6 MO..:
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| 159 | TOTAL LENGTH OF STAYS............:
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| 160 | TYPE OF FIRST RECURRENCE..........:
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| 161 | OTHER TYPE OF FIRST RECURRENCE....:
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| 162 | DISTANT SITE(S) OF FIRST RECURRENCE:
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| 163 | RECURRENCE SITE 1.................:
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| 164 | RECURRENCE SITE 2.................:
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| 165 | RECURRENCE SITE 3.................:
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| 166 | NO SUBSEQUENT TREATMENT
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| 167 | HORMONE THERAPY:
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| 168 | SURGERY OF PRIMARY SITE DATE...:
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| 169 | SCOPE OF LYMPH NODE SURGERY...:
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| 170 | RECON/RESTORE - DELAYED.......:
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| 171 | RECON/RESTORE - DELAYED DATE..:
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| 172 | too long:
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| 173 | Text should not exceed NAACCR length of
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| 174 | Do you want to re-edit this field
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| 175 | Patient Care Evaluation Study of Thyroid Cancer
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| 176 | FAMILY HISTORY OF THYROID CANCER
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| 177 | PERSONAL HISTORY OF NON-THYROID CANCER
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| 178 | PRIOR EXPOSURE TO RADIATION
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| 179 | PERSONAL HISTORY OF GOITER
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| 180 | FAMILY HISTORY OF THYROID DISEASE
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| 181 | PERSONAL HISTORY OF GRAVES DISEASE
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| 182 | PERSONAL HISTORY OF THYROIDITIS
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| 183 | FAMILY HISTORY OF GOITER OR OTHER THYROID DISEASE
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| 184 | 9POSTAL CODE AT DIAGNOSIS..........
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| 185 | 9SPANISH ORIGIN....................
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| 186 | 18PRIMARY PAYER AT DIAGNOSIS........
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| 187 | 400FAMILY HISTORY OF THYROID CANCER..
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| 188 | PERSONAL HISTORY OF NON-THYROID CANCER:
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| 189 | 402 CHILDHOOD MALIGNANCY............
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| 190 | 403PRIOR EXPOSURE TO RADIATION.......
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| 191 | 404PERSONAL HISTORY OF GOITER........
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| 192 | 405FAMILY HISTORY THYROID DISEASE....
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| 193 | 406PERSONAL HISTORY OF GRAVES DISEASE
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| 194 | 407PERSONAL HISTORY OF THYROIDITIS...
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| 195 | SYMPTOMS/SIGNS PRESENT
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| 196 | DIAGNOSTIC/SURGICAL WORKUP
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| 197 | HISTOLOGY/BEHAVIOR CODE (ICD-O-2)
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| 198 | BLOOD VESSEL INVASION
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| 199 | EXTRA-THYROID EXTENSION
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| 200 | SYMPTOMS/SIGNS PRESENT:
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| 201 | 409 HOARSENESS OR VOICE CHANGE.....
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| 202 | 410 NECK NODAL MASS................
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| 203 | 413 PATHOLOGIC FRACTURE............
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| 204 | 414 STRIDOR OR DIFFICULTY BREATHING
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| 205 | 415 THYROID MASS...................
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| 206 | 416 WEIGHT LOSS....................
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| 207 | DIAGNOSTIC/SURGICAL WORKUP:
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| 208 | 418 BONE SCAN......................
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| 209 | 420 CT SCAN OF NECK................
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| 210 | 422 INCISIONAL BIOPSY..............
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| 211 | 425 NEEDLE ASPIRATION OF NECK NODE.
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| 212 | 426 NEEDLE ASPIRATION OF THYROID...
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| 213 | 427 MRI OF NECK....................
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| 214 | 428 THYROID SCAN...................
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| 215 | 429 ULTRASOUND OF THYROID..........
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| 216 | HISTOLOGY/BEHAVIOR CODE (ICD-O-2):
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| 217 | 431BLOOD VESSEL INVASION............
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| 218 | 432EXTRA-THYROIDAL EXTENSION........
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| 219 | SIZE OF TUMOR
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| 220 | LOCATION OF POSITIVE NODES
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| 221 | 29SIZE OF TUMOR..................
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| 222 | 434LOCATION OF POSITIVE NODES.....
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| 223 | 19CLINICAL STAGE..................
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| 224 | 89PATHOLOGIC STAGE................
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| 225 | DATE OF FIRST COURSE TREATMENT.......:
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| 226 | DATE OF NON CANCER-DIRECTED SURGERY:
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| 227 | NON CANCER-DIRECTED SURGERY........:
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| 228 | DATE OF SURGERY OF PRIMARY SITE....:
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| 229 | DATE OF DISCHARGE AFTER SURGERY....: 00/00/0000
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| 230 | 435 DATE OF DISCHARGE AFTER SURGERY....
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| 231 | SURGERY OF PRIMARY SITE............:
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| 232 | RESIDUAL PRIMARY TUMOR.............: NA
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| 233 | AIRWAY PROBLEM REQ TRACHEOSTOMY..: Not applicable, no surgery
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| 234 | BLEEDING HEMATOMA................: Not applicable, no surgery
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| 235 | HYPOCALCEMIA.....................: Not applicable, no surgery
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| 236 | RECURRENT NERVE INJURY...........: Not applicable, no surgery
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| 237 | WOUND INFECTION..................: Not applicable, no surgery
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| 238 | POSTOPERATIVE DEATH WITH 30 DAYS.: Not applicable, no surgery
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| 239 | 59 RESIDUAL PRIMARY TUMOR.............
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| 240 | 436 AIRWAY PROBLEM REQ TRACHEOSTOMY..
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| 241 | 437 BLEEDING HEMATOMA................
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| 242 | 439 RECURRENT NERVE INJURY...........
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| 243 | 440 WOUND INFECTION..................
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| 244 | 441 POSTOPERATIVE DEATH WITHIN 30 DAYS.
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| 245 | RADIATION:
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| 246 | DATE RADIATION STARTED.............:
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| 247 | REGIONAL RAD (cGy) DOSE............: 00000
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| 248 | BOOST DOSAGE.......................: 00000
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| 249 | TOTAL MILLICURIES (mCi) OF RADIOIODINE:
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| 250 | INITAL DOSE........................: 00000
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| 251 | SECOND DOSE........................: 00000
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| 252 | REGIONAL RAD (cGy) DOSE............: 99999
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| 253 | BOOST DOSAGE.......................: 99999
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| 254 | INITAL DOSE........................: 99999
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| 255 | SECOND DOSE........................: 99999
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| 256 | 442 REGIONAL RAD (cGy) DOSE............
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| 257 | 443 BOOST DOSAGE.......................
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| 258 | 444 INITIAL DOSE.......................
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| 259 | 445 SECOND DOSE........................
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| 260 | ADJUVANT CHEMO W BEAM RADIATION....: No concomitant treatment
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| 261 | ADJUVANT CHEMO W BEAM RADIATION....: Unknown if therapy concomitant
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| 262 | 446 ADJUVANT CHEMO W BEAM RADIATION....
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| 263 | THYROID HORMONE THERAPY............:
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| 264 | FAMILY HISTORY OF THYROID CANCER..:
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| 265 | CHILDHOOD MALIGNANCY............:
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| 266 | PRIOR EXPOSURE TO RADIATION.......:
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| 267 | PERSONAL HISTORY OF GOITER........:
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| 268 | FAMILY HISTORY OF THYROID DISEASE.:
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| 269 | PERSONAL HISTORY OF GRAVES DISEASE:
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| 270 | PERSONAL HISTORY OF THYROIDITIS...:
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| 271 | TABLE II - INITIAL DIAGNOSIS/CANCER IDENTIFICATION
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| 272 | HOARSENESS OR VOICE CHANGE......:
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| 273 | NECK NODAL MASS.................:
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| 274 | PATHOLOGIC FRACTURE.............:
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| 275 | STRIDOR/DIFFICULTY BREATHING....:
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| 276 | THYROID MASS....................:
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| 277 | WEIGHT LOSS.....................:
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| 278 | DIAGNOISTIC/SURGICAL WORKUP:
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| 279 | CT SCAN OF NECK.................:
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| 280 | NEEDLE ASPIRATION OF NECK NODE..:
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| 281 | NEEDLE ASPIRATION OF THYROID....:
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| 282 | MRI OF NECK.....................:
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| 283 | THYROID SCAN....................:
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| 284 | ULTRASOUND OF THYROID...........:
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| 285 | PRIMARY SITE (ICD-O-2)............:
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| 286 | HISTOLOGY/BEHAVIOR CODE (ICD-O-2).:
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| 287 | BLOOD VESSEL INVASION.............:
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| 288 | EXTRA-THYROIDAL EXTENSION.........:
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| 289 | SIZE OF TUMOR (mm)................:
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| 290 | LOCATION OF POSITIVE NODES........:
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| 291 | CLINICAL STAGE................:
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| 292 | PATHOLOGIC STAGE..............:
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| 293 | Print Thyroid PCE
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| 294 | PCE Study of Thyroid Cancer
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| 295 | DISCHARGE AFTER SURGERY DATE....:
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| 296 | AIRWAY PROBLEM W TRACHEOSTOMY.:
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| 297 | BLEEDING HEMOTOMA.............:
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| 298 | RECURRENT NERVE INJURY........:
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| 299 | WOUND INFECTION...............:
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| 300 | POSTOPERATIVE DEATH W/I 30 DAYS.:
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| 301 | REGIONAL RAD (cGy) DOSE.........:
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| 302 | BOOST DOSAGE....................:
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| 303 | #################### #################### ####################
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| 304 | #################### #################### ####################
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| 305 | #################### #################### ####################
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| 306 | #################### #################### ####################
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| 307 | #################### #################### ####################
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