Form:URS Biopsy v5.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 2596)
* 2596Date of biopsy (MM/DD/YYYY) (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: 2622)
* 2622Timing of biopsy: (Go To: 844)
 
Permissible Values (value):Index (3)
 
 Diagnostic (4) (Go To: 979)
 
 Prior to index (5)
 
 Unknown (99)
* 979Date of digital rectal exam (DRE) (MM/DD/YYYY): (Go To: 976)
* 976Digital rectal exam results: (Go To: 844)
 
Permissible Values (value):Normal (1)
 
 Abnormal (2)
 
 Abnormal, clearly suspicious for cancer (6)
 
 Unknown (99)
* 844Date pathology report completed (MM/DD/YYYY): (Go To: 839)
   839ID number of local pathology report: (Go To: 1595)
* 1595Inflammation present? (Go To: 1598)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 1598Atrophy? (Go To: 2722)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 2722Prostate volume (cc): (Go To: 1586)
* 1586Presence of prostate adenocarcinoma: (Go To: 980)
 
Permissible Values (value):Malignancy absent (1)
 
 Malignancy present (2) (Go To: 2716)
* 2716Are specimens available for review? (Go To: 4627)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 4627Was a MRI performed? (Go To: 4541)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 955)
 
 Unknown (99)
* 955Date of imaging test (MM/DD/YYYY): (Go To: 4628)
* 4628Was a lesion suspicious for cancer discovered? (Go To: 4541)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 4541Was a MRI/US Fusion Biopsy performed? (Go To: 980)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 980Total number of cores taken: (Go To: 2872)
* 2872Total number of cores with cancer: (Go To: 2158)
 
Permissible Values (value):0 (0)
 
 1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
 
 7 (7)
 
 8 (8)
 
 9 (9)
 
 10 (10)
 
 11 (11)
 
 12 (12)
 
 13 (13)
 
 14 (14)
 
 15 (15)
 
 16 (16)
 
 17 (17)
 
 18 (18)
 
 19 (19)
 
 20 (20)
 
 >20 (40)
 
 Unknown (99)
* 2158Number of specimens: (Go To: 2159)
* 2159Specimen line number or identifier (system-generated): (Go To: 2709)
* 2709Specimen identifier: (Go To: 2160)
* 2160Tissue position (laterality): (Go To: 2211)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Unknown/refused (99)
* 2211Tissue position (zone): (Go To: 2213)
 
Permissible Values (value):Transition Zone (TZ) (1)
 
 Seminal vesicle (2)
 
 Anterior zone (3)
 
 Peripheral zone (4)
 
 Unknown (99)
* 2213Tissue position (regionality): (Go To: 2212)
 
Permissible Values (value):Apex (A) (1)
 
 Middle (M) (2)
 
 Base (B) (3)
 
 Unknown (99)
* 2212Tissue position (position within region): (Go To: 2712)
 
Permissible Values (value):Lateral (lat) (1)
 
 Medial (med) (2)
 
 Unknown (99)
* 2712Specimen status (normal or abnormal): (Go To: 1097)
 
Permissible Values (value):Normal (1)
 
 Positive for malignancy (3) (Go To: 1589)
 
 Abnormal but negative for malignancy (4) (Go To: 984)
 
 Unknown (99)
* 1589Primary Gleason grade: (Go To: 1590)
* 1590Secondary Gleason grade: (Go To: 1696)
   1696Tertiary Gleason Pattern: (Go To: 1697)
* 1697Overall Gleason Score: (Go To: 2737)
* 2737Histological type (prostate): (Go To: 2713)
 
Permissible Values (value):Adenocarcinoma (4) (Go To: 2738)
 
 Sarcoma cell carcinoma (5)
 
 Squamous cell carcinoma (6)
 
 Transitional cell carcinoma (7)
 
 Unknown (99)
* 2738Histological subtype: (check all that apply) (Go To: 2713)
 
Permissible Values (value):Ductal (4)
 
 Mucinous (13)
 
 Neuroendocrine (15)
 
 Small cell carcinoma (19)
 
 Unknown (99)
* 2713Method used to record quantity of cancer in specimen: (Go To: 984)
 
Permissible Values (value):Percent cancer (1) (Go To: 2210)
 
 Length of cancer & length of specimen (2) (Go To: 2208)
* 2210Percent of cancer in tissue: (Go To: 2838)
* 2838Notation for percent cancer value: (Go To: 984)
 
Permissible Values (value):< less than (1)
 
 No notation (10)
 
 Other, specify: (97) (Go To: 2839)
* 2839Notation for percent cancer value (Other specify): (Go To: 984)
* 2208Length of cancer in tissue specimen (mm): (Go To: 2209)
* 2209Length of tissue specimen (mm): (Go To: 984)
* 984High grade prostatic intraepithelial neoplasia (PIN)? (Go To: 1596)
 
Permissible Values (value):No (0)
 
 Yes (1)
* 1596Atypical small acinar proliferation (ASAP)? (Go To: 1597)
 
Permissible Values (value):No (0)
 
 Yes (1)
* 1597Atypia/Suspicious? (Go To: 1591)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 1591Perineural invasion: (Go To: 1097)
 
Permissible Values (value):Present (1)
 
 Absent (2)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)