CDE ID | CDE Description | * 2777 | Site participant ID (Go To: 422) |
* 422 | EDRN Site ID (Go To: 423) |
* 423 | EDRN Protocol ID (Go To: 929) |
* 929 | EDRN Staff ID of the person who collected the data: (Go To: 1219) |
* 1219 | Date of contact (MM/DD/YYYY): (Go To: 4012) |
* 4012 | Diagnosed with LCIS? (Go To: 2636) |
| Permissible Values (value): | No (0) |
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* 3214 | Number of subform loops to record 2: (Go To: 3201) |
| Permissible Values (value): | 1 (1) |
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* 3201 | Line number or identifier 2 (system-generated): (Go To: 4013) |
* 4013 | Timing of LCIS diagnosis: (Go To: 4014) |
| Permissible Values (value): | First primary diagnosis (1) |
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| | Recurrence of first primary diagnosis (2) |
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| | Second primary diagnosis (3) |
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| | Recurrence of second primary diagnosis (4) |
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* 4014 | LCIS diagnosis date (MM/YYYY): (Go To: 4015) |
* 4015 | Pathologic primary LCIS tumor size (cm): (Go To: 2636) |
* 2636 | Diagnosed with DCIS? (Go To: 2823) |
| Permissible Values (value): | No (0) |
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* 3144 | Number of loops: (Go To: 3200) |
| Permissible Values (value): | 0 (0) |
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* 3200 | Line number or identifier (system-generated): (Go To: 3417) |
* 3417 | Timing of DCIS diagnosis: (Go To: 3403) |
| Permissible Values (value): | First primary diagnosis (1) |
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| | Recurrence of first primary diagnosis (2) |
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| | Second primary diagnosis (3) |
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| | Recurrence of second primary diagnosis (4) |
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* 3403 | DCIS diagnosis date (MM/YYYY): (Go To: 1658) |
* 1658 | Pathologic primary DCIS tumor size (cm): (Go To: 2823) |
* 2823 | Diagnosed with breast cancer? (Go To: 1425) |
| Permissible Values (value): | No (0) |
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* 1333 | Date of diagnosis (MM/YYYY): (Go To: 3371) |
* 3371 | Site of breast condition: (Go To: 3389) |
| Permissible Values (value): | Left breast (1) |
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| | Other, specify: (97) (Go To: 3399) |
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* 3399 | Site of invasive breast cancer (Other, specify): (Go To: 3389) |
* 3389 | Breast quadrant(s) of disease: (Go To: 3388) |
| Permissible Values (value): | Upper inner (1) |
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* 3388 | Is pathology available? (Go To: 1425) |
| Permissible Values (value): | No (0) |
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* 1643 | Histological type (breast): (Go To: 3375) |
| Permissible Values (value): | Adenoid Cystic (1) |
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| | Malignant phyllodes tumor (12) |
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| | Mixed, specify: (16) (Go To: 3416) |
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| | Other, specify: (97) (Go To: 1644) |
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* 3416 | Breast histological type; mixed, specify: (Go To: 3375) |
* 1644 | Histological type, other specify (breast): (Go To: 3375) |
* 3375 | Tumor grade: (Go To: 1675) |
| Permissible Values (value): | Low grade (well differentiated) (1) |
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| | Intermediate grade (moderately differentiated) (2) |
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| | High grade (poorly differentiated) (3) |
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| | High grade (undifferentiated) (4) |
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* 1675 | Final estrogen receptor status diagnosis: (Go To: 1680) |
| Permissible Values (value): | Positive (1) |
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* 1680 | Final progesterone receptor status diagnosis: (Go To: 1685) |
| Permissible Values (value): | Positive (1) |
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* 1685 | Final diagnosis with HER2/neu: (Go To: 1703) |
| Permissible Values (value): | Positive (1) |
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* 1703 | Pathologic primary invasive tumor size (cm): (Go To: 1687) |
* 1687 | Total number of lymph nodes examined : (Go To: 2462) |
* 2462 | Number of positive nodes: (Go To: 1425) |
* 1425 | Is participant alive? (Go To: 3409) |
| Permissible Values (value): | No (0) (Go To: 3408) |
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* 3408 | Date of death (MM/YYYY): (Go To: 1097) |
* 3409 | Date of last contact (MM/YYYY): (Go To: 1097) |
1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |