English French Notes Complete/Exclude Venous Invasion (V): Other Stage: Physician Staging: Tumor Size: Pathologic Extension: Lymph Nodes: Metastasis 1: Regional Nodes Examined: Metastasis 2: Regional Nodes Positive: Metastasis 3: General Summary Stage: Peripheral Blood Involvement: Associated With HIV: Surgical Dx/Staging Proc: Surgical Dx/Staging Proc Date: Surg Dx/Staging Proc @Fac: Surg Dx/Staging Proc @Fac Date: Date of no treatment: Surgery of Primary (R): Surgery of Primary (F): Surgery of Primary Date: Surgery of Primary @Fac (R): Surgery of Primary @Fac (F): Surgery of Primary @Fac Date: Surgical Approach (R): Surgical Margins: Scope of LN Surgery (R): Scope of LN Surgery (F): Scope of LN Surgery Date: Scope of LN Surgery @Fac (R): Scope of LN Surgery @Fac (F): Scope of LN Surgery @Fac Date: Surg Proc/Other Site (R): Surg Proc/Other Site (F): Surg Proc/Other Site Date: Surg Proc/Other Site @Fac (R): Surg Proc/Other Site @Fac (F): Surg Proc/Other Site @Fac Date: Date of Surgical Discharge: Reason for No Surgery: RX Text-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: Date Radiation Ended: Radiation @Fac Date: Radiation/Surgery Sequence: Reason for No Radiation: RX Text-Radiation (Beam): RX Text-Radiation Other: Chemotherapy Date: Chemotherapy @Fac Date: RX Text-Chemo: Hormone Therapy: Hormone Therapy Date: Hormone Therapy @Fac: Hormone Therapy @Fac Date: RX Text-Hormone: Immunotherapy Date: Immunotherapy @Fac Date: RX Text-BRM: Hema Trans/Endocrine Proc: Hema Trans/Endocrine Proc Date: Other Treatment: Other Treatment Date: Other Treatment @Fac: Other Treatment @Fac Date: RX Text-Other: Pain Assessment: Palliative Procedure: Palliative Procedure @Fac: Protocol Participation: Year Put on Protocol: Text Dx Proc-Phys.Exam: Text Dx Proc-Xray/Scan: Text Dx Proc-Operations: Text Dx Proc-Lab Tests: Text Dx Proc-Endoscopy: Text Dx Proc-Path/Cyto: Date of First Recurrence: Type of First Recurrence: Distant Site 1: Distant Site 2: Distant Site 3: Subsequent Recurrence Date: Type of Subsequent Recurrence: SUBSEQUENT COURSE OF THERAPY Date Started: Surgery of Primary Site: Scope of Lymph Node Surg: Number of Nodes Removed: Surgery of Other Sites/Nodes: Radiation Sequence: Radiation Therapy to CNS: OTHER PRIMARY SITES Abst Status No Other Primary Sites PERSONAL DATA Address at Dx: Address at Dx - Supp: City/Town at Dx: Place of Birth: State at Dx: Postal Code at Dx: Marital Status at Dx: County at Dx: Primary Payer at Dx: Next of Kin: Abstract Status : Abstract Date: Abstracted by: Agent Orange Exposure: Ionizing Radiation Exposure: Chemical Exposure: Asbestos Exposure: Persian Gulf Service: Middle East Service: Somalia Service: Comorbidity/Complication #1: Comorbidity/Complication #2: Comorbidity/Complication #3: Comorbidity/Complication #4: Comorbidity/Complication #5: Comorbidity/Complication #6: EMPLOYMENT HISTORY Usual Industry: TOBACCO AND ALCOHOL USAGE TOBACCO HISTORY: Type of Tobacco User: CHEWING TOBACCO MORE THAN 1 TYPE Pack-Years: Year Quit Tobacco Use: ALCOHOL HISTORY: Type of Alcohol User: HARD LIQUOR MODERATE/SOCIAL SERIOUS/HEAVY Years of Alcohol Use: Drinks Per Day: Year Quit Drinking: CANCER FAMILY HISTORY: Family member with cancer: PHYSICIAN CONTACTS Following Physician: Primary Surgeon: QA Selected: QA Reviewer: QA Date: QA Review: QA Findings: FOLLOW-UP HISTORY Date of Last Contact: Last Tumor Status: Date of Death: Cause of Death: ICD Cause of Death: State Death Cert: ICD Revision: Place of Death: Care Center at Death: Autopsy Date/Time: Autopsy No.: TUMOR Status at DEATH (Multiple Primaries) Last Contact: Follow-up Method: Readmission (inpatient or outpatient) Vital Status: Next Follow-up Method: Quality of Survival: Unusual Follow-up Method: 1st unusual method 2nd unusual method Date Entered: Registrar: Following Registry: Select year @#ACCESSION YEAR,ACC/SEQ NUMBER ANNUAL Patient Index - ACOS Required (132col) #@ACCESSION YEAR,@PATIENT NAME ANNUAL Patient List by Class of Case (80c) @ACCESSION YEAR,+#@CLASS CATEGORY,+CLASS OF CASE,@PATIENT NAME ANNUAL Site/Gp Listing by ICDO-Topography/Histology @ACCESSION YEAR,+@CLASS CATEGORY,#SITE/GP;S1;C20,+ICDO-TOPOGRAPHY;C12,+HISTOLOGY (ICD-O-2);C9 ANNUAL Site/GP Index by ICDO-Topography (132) @ACCESSION YEAR,@CLASS CATEGORY,#@SITE/GP Annual report - sorted first by Accession year Then by Class Category (Non-analytic/Analytic) Then by Status, Site/GP, and Diagnosis Age Gp. Enter four digit ACCESSION YEAR, for Class category: either 'A' for Analytic, or first to last. YOU may customize your own reports using this option See the FileManager Manual for detailed instructions CREATE CUSTOM REPORT for There is no ICDO-TOPOGRAPHY for this primary. There is currently no PCE for this primary site nor is it a 1997 Non-Hodgkin's Lymphoma or 1999 Melanoma. '00/00/00' is ambiguous, enter a 4 digit year. '88/88/88' is ambiguous, enter a 4 digit year. '99/99/99' is ambiguous, enter a 4 digit year. LOOKING FOR Address at Diagnosis - Get from MAS DONE CONVERTING ADDRESS AT DX Select Type Abstract Select Option Select Patient to Print: ALL PATIENT ABSTRACTS Select Site/GP to Print: ONCOLOGY MULTIPLE SITE ABSTRACTS Select Site/GP: SITE GPS for 19 Timed out... ALL ABSTRACTS for 19 Select Beginning Date: Choose Ending Date: ONCOD* ABSTRACTS BY DXDT Define an AUTHORIZED QA USER in the ONCOLOGY SITE PARAMETERS file Not an AUTHORIZED QA USER Time frame: ABSTRACT DATE (Completed) Select Beginning Date Choose Ending Date 10% QA REPORT-1 10% QA REPORT-2 CANNOT DELETE THIS ENTRY ONCO ABSTRACT NOT-COMPLETE ONCO ACCREG-ACOS80 ONCO ACCREG-EOVA132 ONCO ACCREG-SITE/GP80 ONCO ACOS DOCUMENTATION ONCO AJCC SUMMARY STAGE GPS ONCO ANNUAL ACCREG80 ONCO ANNUAL ACCREG80-HDR ONCO ANNUAL CLASS/PATIENT ONCO ANNUAL CLASS/PATIENT-HDR ONCO ANNUAL HIST/SITE/ICDO ONCO ANNUAL ICDO/STAGE/TX ONCO ANNUAL PATIENT INDX ONCO ANNUAL PATIENT INDX-HDR ONCO ANNUAL PATIENT INFO ONCO ANNUAL PATIENT INFO-HDR ONCO ANNUAL SITE/GP ONCO ANNUAL SITE/GP-HDR ONCO ANNUAL SITE/ICDT/ICDM ONCO ANNUAL SITE/STAGE/TX ONCO ANNUAL SITE/STAGE/TX-HDR ONCO ANNUAL SITE/STG/TX ONCO ANNUAL TREATMENT ONCO CASEFINDING-HDR ONCO CONTACT LIST-A ONCO CONTACT LIST-T ONCO DELINQUENT(LTF) LIST ONCO DUE FOLLOWUP ONCO DUE FOLLOWUP-ADM/DIS ONCO DUE FOLLOWUP-ADM/DIS-HDR ONCO DUE FOLLOWUP-HDR ONCO DUE FOLLOWUP/TERMDIG ONCO DUE FOLLOWUP/TERMDIG-HDR ONCO F/U HISTORY (NEW) ONCO FOLLOW-UP STATUS LIST ONCO FOLLOWUP HISTORY ONCO FOLLOWUP HISTORY-HDR ONCO FOLLOWUP PATIENT RPT ONCO FOLLOWUP PATIENT RPT-HDR ONCO FOLLOWUP STATUS RPT ONCO ICDO PATIENT LIST ONCO ICDO-SITE132 ONCO ICDO-SITE132-HDR ONCO ICDO-SITE80 ONCO ICDO-SITE80-HDR ONCO LAB-CASEFINDING REPORT ONCO LAB-CASEFINDING-HDR ONCO NEG-REPORT ONCO PATIENT INDX-ACOS ONCO PATIENT INDX-ACOS-HDR ONCO PATIENT INDX-EOVA132 ONCO PATIENT INDX80 ONCO PATIENT ONLY ONCO PATIENT ONLY-HDR ONCO PRIMARY EXTENT CODE AUDIT ONCO PRIMARY INFORMATION132 ONCO PRIMARY SURGERY AUDIT ONCO PTF-CASEFINDING RPT ONCO PTF-CASEFINDING-HDR ONCO RAD-CASEFINDING RPT ONCO RAD-CASEFINDING-HDR ONCO SITE HEADING ONCO SITE-QA REPORT ONCO SITE/GP80 ONCO SITE/GP80-HDR ONCO SITE80 ONCO SITE80-HEADER ONCO SUSPENSE ONCO SUSPENSE-ALL/TERMDIG #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################