Form:	BBD Team Project Pathology v1.0

CDE ID	CDE Description
* 2777	Site participant ID (Go To: 422)
* 422	EDRN Site ID (Go To: 2709)
* 2709	Specimen identifier: (Go To: 423)
* 423	EDRN Protocol ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 3407)
* 3407	Date of surgery (MM/YYYY): (Go To: 3360)
* 3360	Are nonproliferative breast changes (fibrocystic changes) present? (Go To: 3362)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3361)
	N/A (98)
	Unknown (99)
* 3361	Nonproliferative breast changes (fibrocystic changes): Check all that apply (Go To: 3362)
	Permissible Values (value): Adenosis (1)
	Apocrine change (2)
	Duct ectasia/cysts (3)
	Mild ductal hyperplasia (2-4 cell layers) (5)
	Non-complex fibroadenoma (11)
	Other, specify: (97) (Go To: 3414)
	N/A (98)
	Unknown (99)
* 3414	Nonproliferative breast changes (fibrocystic changes): Other, specify (Go To: 3362)
* 3362	Is proliferative breast disease without atypia present? (Go To: 3365)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3363)
	N/A (98)
	Unknown (99)
* 3363	Type of proliferative breast disease without atypia: Check all that apply (Go To: 3365)
	Permissible Values (value): Papilloma (1)
	Complex fibroadenoma (3)
	Complex sclerosing lesion and radial scar (4)
	Moderate or florid usual ductal hyperplasia (>4 cell layers) (7) (Go To: 3364)
	Sclerosing adenosis (13)
	Other, specify: (97) (Go To: 3415)
	Unknown (99)
* 3415	Type of proliferative breast disease without atypia: (Other, specify) (Go To: 3365)
* 3364	Extent of moderate or florid ductal hyperplasia (>4 cell layers, non-atypia): (Go To: 3365)
	Permissible Values (value): No (0)
	<=2 ducts (2)
	3-9 ducts (3)
	>10 ducts (10)
	N/A (98)
	Unknown (99)
* 3365	Is proliferative disease with atypia present? (Go To: 3369)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3366)
	N/A (98)
	Unknown (99)
* 3366	Atypical ductal hyperplasia (ADH) present? (Go To: 3367)
	Permissible Values (value): No (0)
	<=2 ducts (2)
	3-9 ducts (3)
	>10 ducts (10)
	N/A (98)
	Unknown (99)
* 3367	Atypical lobular hyperplasia (ALH) present? (Go To: 3368)
	Permissible Values (value): No (0)
	<=2 lobules (2)
	3-9 lobules (3)
	>= 10 lobules (10)
	N/A (98)
	Unknown (99)
* 3368	Flat epithelial atypia present? (Go To: 3369)
	Permissible Values (value): No (0)
	Yes (1)
	N/A (98)
	Unknown (99)
* 3369	Other epithelia atypia: (Go To: 3412)
	Permissible Values (value): No (0)
	<=2 lobules (2)
	3-4 lobules (4)
	>= 5 lobules (5)
	Other, specify: (97) (Go To: 3396)
	N/A (98)
	Unknown (99)
* 3396	Other epithelia atypia: (Other, specify) (Go To: 3412)
* 3412	Specimen completely submitted? (Go To: 3411)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown (99)
* 3411	Number of blocks: (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)