Form: (EXPIRED) Canary: PASS Prostatectomy v2.0


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: 839)
* 839ID number of local pathology report: (Go To: 2605)
* 2605Surgery type: (Go To: 2607)
 
Permissible Values (value):Laprascopic/Robotic (1)
 
 Open (2)
 
 Other, specify: (97) (Go To: 2606)
* 2606Surgery type (Other, specify): (Go To: 2607)
* 2607Nerve-sparing surgery? (Go To: 2608)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
* 2608Prostate weight (g): (Go To: 2609)
* 2609Seminal vesicles attached? (Go To: 4596)
 
Permissible Values (value):No (0)
 
 Yes, both (1)
 
 Yes, right only (2)
 
 Yes, left only (3)
   4596ISUP prostate histopathologic grade: (Go To: 1589)
 
Permissible Values (value):Grade Group 1 (1)
 
 Grade Group 2 (2)
 
 Grade Group 3 (3)
 
 Grade Group 4 (4)
 
 Grade Group 5 (5)
 
 Not applicable (98)
* 1589Primary Gleason grade: (Go To: 1590)
* 1590Secondary Gleason grade: (Go To: 1696)
   1696Tertiary Gleason Pattern: (Go To: 1697)
* 1697Overall Gleason Score: (Go To: 2610)
* 2610Prostate T-Stage, Pathologic: (Go To: 2611)
 
Permissible Values (value):pT0 (2)
 
 pT2 (13)
 
 pT2a (14)
 
 pT2b (15)
 
 pT2c (27)
 
 pT3a (30)
 
 pT3b (31)
 
 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: 2614)
* 2614Estimated tumor volume (cc): (Go To: 2615)
   2615Tumor volume determination method: (Go To: 2617)
 
Permissible Values (value):Nickel method (1)
 
 Volume calculation by mass (2)
 
 Percent by eye (3)
 
 Greatest linear dimension (4)
 
 Other, specify: (97) (Go To: 2616)
 
 Unknown (99)
   2616Tumor volume determination method (Other, specify): (Go To: 2617)
* 2617Tumor position: (Go To: 1591)
 
Permissible Values (value):Anterior right (1)
 
 Anterior left (2)
 
 Posterior right (3)
 
 Posterior left (4)
 
 Prostatic apex (5)
 
 Bladder neck (6)
 
 Peripheral right (7)
 
 Peripheral left (8)
 
 Transition right (9)
 
 Transition left (10)
 
 Other, specify: (97) (Go To: 3359)
 
 Unknown (99)
* 3359Tumor position: (Other, specify) (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: 2620)
 
Permissible Values (value):Anterior right (1)
 
 Anterior left (2)
 
 Posterior right (3)
 
 Posterior left (4)
 
 Other, specify: (97) (Go To: 3358)
 
 Unknown (99)
* 3358Site of positive margins: (Other, specify) (Go To: 2620)
* 2620Combined length of positive margin(s) (mm): (Go To: 2626)
* 2626Extraprostatic extension (EPE) status: (Go To: 2628)
 
Permissible Values (value):Positive (1) (Go To: 2627)
 
 Negative (2)
 
 Uncertain (borderline case) (3)
 
 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: 2630)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 2629)
 
 Unknown/refused (9)
* 2629Seminal vesicle invasion site: (Go To: 2630)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Both (3)
 
 Unknown (99)
   2630Percent of tumor tissue with Gleason grade greater than 3: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)