Form:Pancreatic Cystic Fluid Reference Set: Pathology v2.01


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 968)
* 968Date of procedure that generated pathology report (MM/DD/YYYY): (Go To: 844)
* 844Date pathology report completed (MM/DD/YYYY): (Go To: 706)
* 706Method of acquisition (Go To: 839)
 
Permissible Values (value):Biopsy (1)
 
 Excised during surgery (2)
 
 Fine needle aspirate (3)
   839ID number of local pathology report: (Go To: 3214)
* 3214Number of subform loops to record 2: (Go To: 3201)
 
Permissible Values (value):1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
 
 7 (7)
 
 8 (8)
 
 9 (9)
 
 10 (10)
* 3201Line number or identifier 2 (system-generated): (Go To: 3305)
* 3305Pancreatic cyst or lesion pathology: (Go To: 3163)
 
Permissible Values (value):IPMN (2) (Go To: 3313)
 
 MCN (4) (Go To: 3306)
 
 Microcystic adenoma (serous cystadenoma) (5)
 
 Pseudocyst (6)
 
 Retention cyst (7)
 
 Solid pseudopapillary tumor (9) (Go To: 3307)
 
 Cystic neuroendocrine tumor (10) (Go To: 3314)
 
 Adenocarcinoma (11) (Go To: 3307)
 
 Other, specify: (97) (Go To: 3315)
* 3315Cyst/lesion pathology (Other, specify:) (Go To: 3311)
* 3313Ductal involvement: (Go To: 3310)
 
Permissible Values (value):Branched (2)
 
 Mixed (3)
 
 Cannot be determined (4)
 
 Unknown (99)
* 3310IPMN sub-type: (Go To: 3306)
 
Permissible Values (value):Gastric foveolar (1)
 
 Intestinal (2)
 
 Intraductal tubulopapillary neoplasm (3)
 
 Intraductal oncocytic papillary neoplasm (4)
 
 Pancreatobiliary (5)
 
 Unknown (99)
* 3306Degree of dysplasia (cyst): (Go To: 3311)
 
Permissible Values (value):Low grade (1)
 
 Intermediate grade (2)
 
 High grade (3)
 
 Unknown (99)
* 3311Associated with invasive carcinoma? (Go To: 3163)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3312)
 
 Unknown (99)
* 3312Type of invasiveness: (Go To: 3309)
 
Permissible Values (value):Microinvasive carcinoma, mucinous (colloid) (1)
 
 Microinvasive carcinoma, tubular (ductal) (2)
 
 Invasive carcinoma, mucinous (colloid) (3)
 
 Invasive carcinoma, tubular (ductal) (4)
 
 Unknown (99)
* 3309Size of largest focus on invasion (mm): (Go To: 3307)
* 3314Grading for cystic neuroendocrine tumor: (Go To: 3307)
 
Permissible Values (value):G1 (1)
 
 G2 (2)
 
 G3 (3)
 
 Unknown (99)
* 3307Pancreatic T-stage, pathologic: (Go To: 3308)
 
Permissible Values (value):TX (7)
 
 T0 (9)
 
 Tis (10)
 
 T1 (11)
 
 T2 (20)
 
 T3 (30)
 
 T4 (40)
* 3308Pancreatic N-stage, pathologic: (Go To: 3163)
 
Permissible Values (value):NX (1)
 
 N0 (2)
 
 N1 (10)
   3163Loop-specific comments 2: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)