Form:	DCIS 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: 3370)
* 3370	DCIS histologic pattern: (Go To: 1669)
	Permissible Values (value): Apocrine (1)
	Comedo (2)
	Cribriform (3)
	Papillary (6)
	Micropapillary (7)
	Solid (8)
	Other, specify: (97) (Go To: 3397)
	N/A (98)
	Unknown (99)
* 3397	DCIS histologic pattern: (Other, specify) (Go To: 1669)
* 1669	Were microcalcifications present? (Go To: 3377)
	Permissible Values (value): No (0)
	Yes (1)
	N/A (98)
	Unknown (99)
* 3377	Tumor multifocality (presence of 2 or more foci in the same quadrant)? (Go To: 3378)
	Permissible Values (value): No (0)
	Yes (1)
	N/A (98)
	Unknown (99)
* 3378	Tumor multicentricity (presence of 2 or more foci in different quadrants)? (Go To: 2550)
	Permissible Values (value): No (0)
	Yes (1)
	N/A (98)
	Unknown (99)
* 2550	Tumor size (mm): (Go To: 1659)
* 1659	DCIS nuclear grade: (Go To: 3379)
	Permissible Values (value): Grade I (low) (1)
	Grade II (intermediate) (2)
	Grade III (high) (3)
	N/A (98)
	Unknown (99)
* 3379	Comedo type necrosis present? (Go To: 3380)
	Permissible Values (value): Present (1)
	Absent (2)
	N/A (98)
	Unknown (99)
* 3380	Histologic grade of DCIS (Van Nuy’s Grading System): (Go To: 2618)
	Permissible Values (value): Low grade (1)
	Intermediate grade (2)
	High grade (3)
	Unknown (99)
* 2618	Margin status (presence of cancer at margin): (Go To: 3392)
	Permissible Values (value): Positive (1)
	Negative (2)
	N/A (98)
	Unknown (99)
* 3392	Distance of DCIS from closest resection margin in original lumpectomy specimen, mm: (Go To: 3393)
* 3393	Distance of DCIS from final resection margin including following additional re-excision surgery, mm: (Go To: 2723)
* 2723	Lymph node status: (Go To: 3381)
	Permissible Values (value): Positive (1)
	Negative (2)
	N/A (98)
	Unknown (99)
* 3381	DCIS final estrogen receptor status diagnosis: (Go To: 3382)
	Permissible Values (value): Positive (1)
	Negative (2)
	Indeterminate (7)
	N/A (98)
	Unknown (99)
* 3382	DCIS final progesterone receptor status diagnosis: (Go To: 3383)
	Permissible Values (value): Positive (1)
	Negative (2)
	Indeterminate (7)
	N/A (98)
	Unknown (99)
* 3383	DCIS final HER2/neu receptor status diagnosis: (Go To: 3394)
	Permissible Values (value): Positive (1)
	Negative (2)
	Indeterminate (7)
	N/A (98)
	Unknown (99)
* 3394	Ki-67 (MIB-1) Status of DCIS score: (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)