Form:Canary: PASS Prostatectomy v3.0


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: 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)
 
 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: 2713)
* 2713Method used to record quantity of cancer in specimen: (Go To: 2617)
 
Permissible Values (value):Percent cancer (1) (Go To: 3404)
 
 Cancer volume (3) (Go To: 2614)
 
 Unknown (99)
* 3404Percent of cancer in organ: (Go To: 2617)
* 2614Estimated tumor volume (cc): (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)
 
 Negative (2)
 
 Uncertain (borderline case) (3)
 
 Unknown/refused (9)
* 2626Extraprostatic extension (EPE) status: (Go To: 2628)
 
Permissible Values (value):Positive (1)
 
 Negative (2)
 
 Uncertain (borderline case) (3)
 
 Unknown (99)
* 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)