Form:URS Prostatectomy v5.0


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: 774)
* 774Date of surgery (MM/DD/YYYY): (Go To: 1589)
* 1589Primary Gleason grade: (Go To: 1590)
* 1590Secondary Gleason grade: (Go To: 1696)
   1696Tertiary Gleason Pattern: (Go To: 1697)
* 1697Overall Gleason Score: (Go To: 3405)
* 3405Percentage of tumor tissue with Gleason Pattern 4: (Go To: 2610)
* 2610Prostate T-Stage, Pathologic: (Go To: 2611)
 
Permissible Values (value):pT2 (13)
 
 pT2a (14)
 
 pT2b (15)
 
 pT3 (16)
 
 pT2c (27)
 
 pT3a (30)
 
 pT3b (31)
 
 pT3c (32)
 
 pT4 (34)
* 2611Prostate N-Stage, Pathologic: (Go To: 2612)
 
Permissible Values (value):pNX (1)
 
 pN0 (2)
 
 pN1 (7)
* 2612Prostate M-Stage, Pathologic: (Go To: 1687)
 
Permissible Values (value):MX (1)
 
 M0 (2)
 
 M1 (3)
 
 M1a (4)
 
 M1b (5)
 
 M1c (6)
* 1687Total number of lymph nodes examined : (Go To: 2613)
* 2613Number of lymph nodes with cancer: (Go To: 2722)
* 2722Prostate volume (cc): (Go To: 2614)
* 2614Estimated tumor volume (cc): (Go To: 3404)
* 3404Percent of cancer in organ: (Go To: 1591)
* 1591Perineural invasion: (Go To: 2618)
 
Permissible Values (value):Present (1)
 
 Absent (2)
 
 Unknown (99)
* 2618Margin status (presence of cancer at margin): (Go To: 2626)
 
Permissible Values (value):Positive (1) (Go To: 2619)
 
 Negative (2)
 
 Uncertain (borderline case) (3)
 
 Unknown/refused (9)
* 2619Site(s) of positive margin(s): (Go To: 2626)
 
Permissible Values (value):Anterior right (1)
 
 Anterior left (2)
 
 Posterior right (3)
 
 Posterior left (4)
 
 Unknown (99)
* 2626Extraprostatic extension (EPE) status: (Go To: 2628)
 
Permissible Values (value):Positive (1) (Go To: 2627)
 
 Negative (2)
 
 Uncertain (borderline case) (3) (Go To: 2627)
 
 Unknown (99)
* 2627Extraprostatic extension (EPE) site(s): (Go To: 2628)
 
Permissible Values (value):Anterior right (1)
 
 Anterior left (2)
 
 Posterior right (3)
 
 Posterior left (4)
* 2628Seminal vesicle invasion? (Go To: 2716)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 2629)
 
 Unknown (99)
* 2629Seminal vesicle invasion site: (Go To: 2716)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Both (3)
 
 Other (95)
 
 Unknown (99)
* 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: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)