Patient data |
|
COGNOME |
Surname |
TEXT
[20]
| Last name of the patient |
|
|
NOME |
Forename |
TEXT
[15]
| First name of the patient |
|
|
DATANASC |
Date of birth |
DATE
[10]
| Date of birth of patient |
|
|
ANNONASC |
Year of birth |
NUMERIC (LONG)
[4]
| Year of birth of patient |
|
|
COMUNENASC |
Birth place |
TEXT
[27]
| Town of birth of patient |
|
|
PROVNASC |
District |
TEXT
[2]
| District of birth of patient |
|
|
TESSERA |
ID 1 |
TEXT
[16]
| Identification number |
|
|
CF |
ID 2 |
TEXT
[16]
| Identification number |
|
|
INDIRIZZO |
Address |
TEXT
[27]
| Home address of patient |
|
|
COMUNERES |
Town |
TEXT
[27]
| Town of residence of patient |
|
|
PROVRES |
District |
TEXT
[2]
| District of residence of patient |
|
|
TELEFONO |
Tel. |
TEXT
[12]
| Telephone number of patient |
|
|
TELEFONO2 |
2nd telephone number of patient |
TEXT
[12]
| 2nd telephone number of patient |
|
|
STATOORMO |
Menstrual status |
CODED
[1]
| Hormonal status |
1 = fertile |
| 2 = pregnancy |
| 3 = post-menopause |
| 4 = replacement therapy |
| 9 = unknown |
|
TAGLIA |
Size |
CODED
[2]
| Bra size |
1 = 32/70 |
| 2 = 34/75 |
| 3 = 36/80 |
| 4 = 38/85 |
| 5 = 40/90 |
| 6 = 42/95 |
| 7 = 44/100 |
| 8 = >46/105 |
| 9 = unknown |
|
FAMILIARITA |
Family History |
CODED
[1]
| Family history (coded) |
0 = No |
| 1 = Immediate family member <50y. |
| 2 = Other |
| 9 = Unknown |
|
ALTRAFAM |
Family history (description) |
TEXT
[25]
| Family history (description) |
|
|
PRECCANCRO |
Prev. breast Ca |
CODED
[1]
| Previous breast cancer |
0 = no |
| 1 = yes |
| 9 = unknown |
|
DATAPC |
Date |
DATE
[10]
| Date of diagnosis of previous breast Ca |
|
|
DIAGNOSI |
Diagnosis |
TEXT
[15]
| Diagnosis of previous cancer |
|
|
PARTTRIAL |
Trial |
CODED
[1]
| Entry in clinical trials |
0 = No |
| 1 = Yes |
| 9 = Unknown |
|
NOMETRIAL |
Trial name |
TEXT
[30]
| Trial name |
|
|
Person follow-up |
|
O01 |
Department |
TEXT
[20]
| Department |
|
|
O02 |
Date of first check-up visit |
DATE
[10]
| Date of first check-up visit |
|
|
O03 |
Patient status |
CODED
[1]
| Patient status |
0 = alive NED |
| 1 = alive with stable illness |
| 2 = alive with illness progression |
| 3 = alive (illness status unknown) |
| 4 = died of breast Ca |
| 5 = died of another cause |
| 6 = died of an unknown cause |
| 7 = emigrated (life status unknown) |
| 8 = lost to follow up |
| 9 = unknown |
|
O04 |
Patient status update |
DATE
[10]
| Date of latest patient status updated |
|
|
O05 |
Distant metastases |
CODED
[1]
| Localisation of metastases |
0 = none |
| 1 = bone |
| 2 = lung |
| 3 = liver |
| 4 = CNS |
| 5 = non-axillary lymph node |
| 6 = multiple |
| 7 = other |
| 8 = metastases, site unknown |
| 9 = unknown |
|
O06 |
Other site of mts |
TEXT
[22]
| Other site of metastases |
|
|
O07 |
Date of metastasis |
DATE
[10]
| Date of first diagnosis of metastases |
|
|
O08 |
New lesion |
CODED
[1]
| Diagnosis of a new breast cancer |
0 = no |
| 1 = yes |
| 9 = unknown |
|
O09 |
Date of new lesion |
DATE
[10]
| Date of diagnosis of the new lesion |
|
|
O10 |
Date of examination 2 |
DATE
[10]
| Date of examination 2 |
|
|
O11 |
department of examination 2 |
TEXT
[20]
| department of examination 2 |
|
|
O12 |
Date of examination 3 |
DATE
[10]
| Date of examination 3 |
|
|
O13 |
department of examination 3 |
TEXT
[20]
| department of examination 3 |
|
|
O14 |
Date of examination 4 |
DATE
[10]
| Date of examination 4 |
|
|
O15 |
department of examination 4 |
TEXT
[20]
| department of examination 4 |
|
|
O16 |
Date of examination 5 |
DATE
[10]
| Date of examination 5 |
|
|
O17 |
department of examination 5 |
TEXT
[20]
| department of examination 5 |
|
|
O18 |
Date of examination 6 |
DATE
[10]
| Date of examination 6 |
|
|
O19 |
department of examination 6 |
TEXT
[20]
| department of examination 6 |
|
|
O20 |
Date of examination 7 |
DATE
[10]
| Date of examination 7 |
|
|
O21 |
department of examination 7 |
TEXT
[20]
| department of examination 7 |
|
|
O22 |
Date of examination 8 |
DATE
[10]
| Date of examination 8 |
|
|
O23 |
department of examination 8 |
TEXT
[20]
| department of examination 8 |
|
|
O24 |
Date of examination 9 |
DATE
[10]
| Date of examination 9 |
|
|
O25 |
department of examination 9 |
TEXT
[20]
| department of examination 9 |
|
|
O26 |
Date of examination 10 |
DATE
[10]
| Date of examination 10 |
|
|
O27 |
department of examination 10 |
TEXT
[20]
| department of examination 10 |
|
|
O28 |
Date of mammogram 1 |
DATE
[10]
| Date of mammogram 1 |
|
|
O29 |
Date of mammogram 2 |
DATE
[10]
| Date of mammogram 2 |
|
|
O30 |
Date of mammogram 3 |
DATE
[10]
| Date of mammogram 3 |
|
|
O31 |
Date of mammogram 4 |
DATE
[10]
| Date of mammogram 4 |
|
|
O32 |
Date of mammogram 5 |
DATE
[10]
| Date of mammogram 5 |
|
|
O33 |
Notes |
TEXT
[35]
| Notes from the person follow-up section |
|
|
ID |
|
TEXT
[9]
| |
|
|
Information on lesion |
|
B01 |
Breast side |
CODED
[1]
| Side location of the lesion |
D = right |
| S = left |
| N = unknown |
|
B02 |
Lesion site |
CODED
[2]
| Predominant area |
1 = superior-external |
| 2 = central-external |
| 3 = inferior-external |
| 4 = inferior-central |
| 5 = inferior-internal |
| 6 = central-internal |
| 7 = superior-internal |
| 8 = superior-central |
| 9 = areolar |
| 88 = diffuse |
| 99 = unknown |
|
B03 |
Other lesions |
CODED
[1]
| Classification of this lesion with respect to any other lesions recorded in the QT for the same pat. |
1 = single or main |
| 2 = double, contralateral |
| 3 = double, ipsilateral |
| 4 = metachronous contralateral |
| 5 = metachronous ipsilateral |
| 9 = unknown |
|
B04 |
First lesion |
CODED
[1]
| First lesion |
0 = no |
| 1 = yes |
| 2 = first among malignant |
| 9 = unknown |
|
B05 |
Case for discussion |
BOOLEAN
[1]
| Case for discussion |
|
|
B06 |
|
DATE
[10]
| |
|
|
B07 |
|
TEXT
[15]
| |
|
|
Screening |
|
C01 |
Screening centre |
TEXT
[3]
| Screening centre code |
|
|
C02 |
Categories of cases |
CODED
[1]
| Classification of lesion in respect to screening status |
1 = screen-detected |
| 2 = self-referred woman |
| 3 = interval |
| 4 = not respondent woman |
| 5 = not yet invited woman |
| 6 = not registered or untraced woman |
| 7 = screen-detected (i.m.) |
| 8 = interval (i.m.) |
| 9 = unknown |
|
C03 |
Interval cases classif. |
CODED
[1]
| Radiological classification of interval cancer cases |
1 = true interval |
| 2 = mammogram occult |
| 3 = minimal signs |
| 4 = false negative |
| 5 = other |
| 8 = unclassifiable |
| 9 = unknown |
|
C04A |
Date of diagn. mammo |
DATE
[10]
| Data of the diagnostic mammogram for interval cancer |
|
|
C04B |
Dept. |
TEXT
[20]
| Name of the dept. which diagnostic mammogram was done |
|
|
C04C |
Diagnostic mammogram |
CODED
[1]
| Diagnostic mammogram for int. ca. |
0 = not performed |
| 1 = performed |
| 2 = performed, in screening file |
| 9 = unknown |
|
C04D |
Notification |
CODED
[1]
| Source of info on the int.ca. |
1 = woman returned for symptoms |
| 2 = woman |
| 3 = active research |
| 4 = GP |
| 5 = other physician |
| 6 = routine call |
| 7 = other |
| 9 = unknown |
|
C05 |
Round number |
NUMERIC (BYTE)
[1]
| Number (sequential) of invitations to attend screening received |
|
|
C06 |
Test number |
NUMERIC (BYTE)
[1]
| Number (sequential) of screening tests actually taken within the programme |
|
|
C09 |
Date |
DATE
[10]
| Date of screening mammogram |
|
|
C09B |
Date of penultimate level 1 test |
DATE
[10]
| Date of penultimate screening mammogram |
|
|
C09C |
Result |
CODED
[1]
| Result of last screening mammogram |
0 = not performed |
| 1 = negative |
| 2 = positive |
| 3 = assessment for symptoms |
| 8 = unsuitable |
| 9 = unknown |
|
C10 |
Result radiologist 1 |
CODED
[1]
| First radiologist's report on screening mammogram |
0 = I level not performed |
| 1 = negative |
| 2 = positive |
| 3 = symptomatic woman |
| 8 = inadequate |
| 9 = unknown |
|
C10B |
Radiologist 1 |
TEXT
[20]
| Radiologist 1 |
|
|
C11 |
Result radiologist 2 |
CODED
[1]
| Second radiologist's report on screening mammogram |
0 = double reading not performed |
| 1 = negative |
| 2 = positive |
| 3 = symptomatic woman |
| 8 = inadequate |
| 9 = unknown |
|
C11B |
Radiologist 2 |
TEXT
[20]
| Radiologist 2 |
|
|
C12 |
Assessment date |
DATE
[10]
| Date of further assessment after a positive screening test |
|
|
C12B |
dept. level II |
TEXT
[20]
| Assessment clinic department |
|
|
C13 |
Radiologist |
TEXT
[20]
| Code for radiologist present at the assessment clinic |
|
|
C14 |
Surgeon |
TEXT
[20]
| Surgeon present at the assessment clinic |
|
|
C15 |
Notes |
TEXT
[35]
| Notes |
|
|
Diagnosis |
|
D01 |
Source of referral |
CODED
[1]
| Source of referral |
1 = referral from screening programme |
| 2 = other |
| 9 = unknown |
|
D02 |
Mammogram finding |
CODED
[1]
| Result of mammogram |
0 = not performed |
| 1 = R1-Negative |
| 2 = R2-Benign lesion |
| 3 = R3-Abn. indetermined significance |
| 4 = R4-Suspicious of malignancy |
| 5 = R5-Malignant features |
| 9 = Unknown |
|
D02B |
|
CODED
[1]
| |
1 = in situ |
| 2 = invasive |
| 9 = unknown |
|
D03 |
Date |
DATE
[10]
| Date of mammogram |
|
|
D04 |
Mammogram pattern |
CODED
[1]
| Mammographic pattern |
1 = regular opacity |
| 2 = irregular opacity |
| 3 = spiculated opacity |
| 4 = stellate opacity |
| 5 = distortion |
| 6 = asymmetry |
| 7 = other |
| 9 = unknown |
|
D05 |
Other pattern |
TEXT
[24]
| Other pattern |
|
|
D05B |
Microcalcifications |
CODED
[1]
| Microcalcifications |
0 = absent |
| 1 = mainly punctiform |
| 2 = mainly pleomorphic/granular |
| 3 = mainly linear |
| 8 = unspecified aspect present |
| 9 = unknown |
|
D06 |
Ultrasound finding |
CODED
[1]
| Ultrasound scan |
0 = Not performed |
| 1 = U1-Negative |
| 2 = U2-Benign lesion |
| 3 = U3-Abn. indetermined significance |
| 4 = U4-Suspicious of malignancy |
| 5 = U5-Malignant features |
| 9 = Unknown |
|
D06B |
Descriptive res. |
TEXT
[30]
| Descriptive result of ultrasound scan |
|
|
D07 |
Date |
DATE
[10]
| Date of ultrasound scan |
|
|
D08 |
FNA |
CODED
[1]
| Cytological result (Fine Needle Aspiration) |
0 = Not performed |
| 1 = C1-Inadequate |
| 2 = C2-Benign epithelial cells |
| 3 = C3-Atypia probably benign |
| 4 = C4-Suspicious of malignancy |
| 5 = C5-Malignant |
| 9 = Unknown |
|
D08A |
Date |
DATE
[10]
| Date of sample |
|
|
D08B |
dept. |
TEXT
[20]
| Cytopathology department |
|
|
D08C |
Guide |
CODED
[1]
| Guide |
1 = palpation |
| 2 = ultrasound scan |
| 3 = mammogram |
| 4 = stereotaxy |
| 9 = unknown |
|
D08D |
No. sampl. |
NUMERIC (BYTE)
[1]
| No. of samples |
|
|
D09 |
Core biopsy |
CODED
[1]
| Implementation of fine needle aspiration biopsy (Core Biopsy, tru-cut) |
0 = Not performed |
| 1 = B1-Unsatisfactory/Normal |
| 2 = B2-Benign |
| 3 = B3-Benign uncertain |
| 4 = B4-Suspicious of malignancy |
| 5 = B5-Malignant |
| 9 = Unknown |
|
D10 |
|
CODED
[1]
| |
1 = in situ |
| 2 = invasive |
| 9 = unknown |
|
D10A |
Date |
DATE
[10]
| Date |
|
|
D10B |
Guide |
CODED
[1]
| Guide |
1 = palpation |
| 2 = ultrasound scan |
| 3 = mammogram |
| 4 = stereotaxy |
| 9 = unknown |
|
D10C |
Specimen x-rays |
CODED
[1]
| Radiography of biopsy specimen |
0 = Not performed |
| 1 = malignant calcifications present |
| 2 = only benign calcifications present |
| 3 = calcifications absent |
| 9 = unknown |
|
D10D |
No. sampl. |
NUMERIC (BYTE)
[1]
| No. of samples |
|
|
D10E |
Needle gauge |
CODED
[1]
| Gauge of needle |
0 = Core Biopsy, not specified |
| 2 = G 18 or more |
| 3 = G 16-17 |
| 4 = G 15 |
| 5 = G 14 |
| 6 = G 9-13 |
| 8 = G 8 |
| 7 = Vacuum-assisted not spec. |
| 9 = unknown |
|
D10F |
dept. |
TEXT
[20]
| Department |
|
|
D11 |
Disease extent |
CODED
[1]
| Disease extent |
0 = localized |
| 1 = multifocal |
| 2 = multicentric |
| 9 = unknown |
|
D12 |
Palpable lesion |
CODED
[1]
| Palpable lesion |
0 = no |
| 1 = yes |
| 9 = unknown |
|
D13 |
Other clin.findings |
TEXT
[15]
| Other clinical findings |
|
|
D13A |
Clinical opinion |
CODED
[1]
| Opinion of surgeon |
1 = normal |
| 2 = benign |
| 3 = suspect |
| 9 = unknown |
|
D13B |
Date of clinical test |
DATE
[10]
| Date of clinical test |
|
|
D14 |
Nipple discharge |
CODED
[1]
| Nipple discharge |
0 = absent |
| 1 = present |
| 9 = unknown |
|
D15 |
Nipple discharge cytology |
CODED
[1]
| Nipple discharge cytology finding |
0 = not performed |
| 1 = benign not papillary |
| 2 = papillary |
| 3 = doubious |
| 4 = suspicious of malignancy |
| 5 = malignant |
| 8 = unsatisfactory |
| 9 = unknown |
|
D16 |
Imaging/clinical size |
NUMERIC (INT)
[3]
| Tumour size by imaging or clinical examination |
|
|
D17 |
Size-method |
CODED
[1]
| Method employed in determining size |
1 = ultrasound |
| 2 = mammographic |
| 3 = clinical |
| 9 = unknown |
|
D18 |
Special T cases |
CODED
[3]
| Special T cases |
TX = primary cancer not assessable |
| T0 = no primary cancer |
| T4A = extens. to chest wall |
| T4B = oedema or ulceration or nodules |
| T4C = both T4a and T4b |
| T4D = inflammatory ca. |
| TIS = carcinoma in situ |
| 99 = unknown |
|
D19 |
T |
TEXT
[2]
| T by imaging or clinical examination |
|
|
D20 |
N |
CODED
[1]
| Regional nodes affected |
X = X |
| 0 = 0 |
| 1 = 1 |
| 2 = 2 |
| 3 = 3 |
| 4 = 4 |
|
D21 |
M |
CODED
[1]
| Distant metastases |
X = X |
| 0 = 0 |
| 1 = 1 |
|
D23 |
Date of referral |
DATE
[10]
| Date of surgical decision to operate or first therapy referral |
|
|
D24 |
Recommendations |
CODED
[1]
| Final recommendations to patient |
0 = none |
| 1 = normal controls |
| 2 = follow-up |
| 3 = exeresis |
| 4 = CT neoadjuvant |
| 5 = only RT |
| 6 = only RT+CT |
| 8 = assessment refused |
| 9 = unknown |
|
D24A |
Test |
CODED
[1]
| Follow-up test prescribed |
1 = only clinical test |
| 2 = mammogram |
| 3 = ultrasound scan |
| 4 = FNA or CB |
| 5 = other |
| 9 = unknown |
|
D24B |
Months |
NUMERIC (INT)
[2]
| Months of follow-up |
|
|
D25 |
Notes |
TEXT
[35]
| Notes from diagnostic section |
|
|
Histopathology |
|
I01 |
Main diagnosis |
CODED
[1]
| Final pathology |
1 = benign |
| 2 = in situ |
| 3 = microinvasive |
| 4 = invasive |
| 5 = non epithelial |
| 6 = other |
| 9 = unknown |
|
I02 |
other |
TEXT
[13]
| Other main diagnosis at final pathology |
|
|
I03 |
DCIS component |
CODED
[1]
| Presence or absence of ductal IS component |
0 = absent |
| 1 = present |
| 2 = E.I.C. |
| 9 = unknown |
|
I04 |
DCIS |
NUMERIC (INT)
[3]
| Percentage of DCIS |
|
|
I05 |
Benign type |
CODED
[2]
| Histological type of benign lesions |
0 = normal tissue |
| 1 = fibroadenoma |
| 2 = cysts |
| 3 = atyp.ductal hyperplasia |
| 4 = atyp.lobular hyperplasia |
| 5 = atyp.apochrine metaplasia |
| 6 = fibrocystic mastopatia |
| 7 = ben.phylloid tumor. |
| 8 = schlerosing adenosis |
| 9 = radial scar |
| 10 = papilloma/papillomatosis |
| 88 = other |
| 99 = unknown |
|
I06 |
Invasive type |
CODED
[2]
| Invasive histological type at final pathology |
1 = ductal NST |
| 2 = lobular |
| 3 = medullary |
| 4 = mucinous |
| 5 = tubular, cribriform |
| 6 = mixed ductal/lobular |
| 7 = mixed ductal NST + other |
| 8 = mixed tubular/lobular |
| 10 = metastatic |
| 11 = other |
| 88 = not assessable |
| 99 = unknown |
|
I07 |
other |
TEXT
[20]
| Other invasive type |
|
|
I08 |
Histological grade |
CODED
[1]
| Grade of invasive cancer |
0 = not performed |
| 1 = I |
| 2 = II |
| 3 = III |
| 9 = unknown |
|
I09 |
Classification |
CODED
[1]
| Classification used for grade |
1 = OMS |
| 2 = Elston-Ellis |
| 3 = other |
| 9 = unknown |
|
I10 |
Vascular invasion |
CODED
[1]
| Presence or absence of vascular invasion (blood or lymphatic) |
0 = not seen |
| 1 = yes |
| 8 = not evaluated |
| 9 = unknown |
|
I11 |
In situ type |
CODED
[2]
| In situ histological type |
1 = ductal NST |
| 2 = ductal solid |
| 3 = comedo |
| 4 = papillary |
| 5 = micropapillary |
| 6 = cribriform |
| 7 = clinging |
| 10 = lobular |
| 11 = other |
| 88 = not assessable |
| 99 = unknown |
|
I12 |
other |
TEXT
[20]
| Other in situ type |
|
|
I13 |
Histological grade |
CODED
[1]
| Grade of in situ (DCIS) lesions |
0 = not performed |
| 1 = low |
| 2 = intermediate |
| 3 = high |
| 9 = unknown |
|
I14 |
Classification |
CODED
[1]
| Classification used for DCIS grading |
1 = European Group |
| 2 = Holland et al. |
| 3 = Van Nuys |
| 4 = Nottingham |
| 9 = unknown |
|
I15 |
Paget's disease |
CODED
[1]
| Presence or absence of Paget's |
0 = no |
| 1 = yes |
| 9 = unknown |
|
I16 |
Disease extent |
CODED
[1]
| Disease extent |
0 = single |
| 1 = multiple |
| 9 = unknown |
|
I17 |
Weigth of specimen |
NUMERIC (INT)
[3]
| Fresh or fixed weight of specimen removed (gm) |
|
|
I18 |
Marker distance |
NUMERIC (INT)
[3]
| Distance between marker positioned preoperatively and margin of the lesion |
|
|
I19 |
Specimen cut |
CODED
[1]
| Indicate whether specimen has been opened in theatre |
0 = no |
| 1 = yes |
| 9 = unknown |
|
I20 |
Specimen orientation |
CODED
[1]
| Specimen orientation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
I21 |
Pathological size (mm) |
NUMERIC (INT)
[3]
| Pathological size (mm) |
|
|
I22 |
Total size (mm) |
NUMERIC (INT)
[3]
| Total size (invasive + in situ) |
|
|
I23 |
Final margins |
CODED
[1]
| Evaluation of margins at final pathology after last operation |
1 = T does not reach margins |
| 2 = ca.in proximity |
| 3 = inv.ca.focally reaches margins |
| 4 = inv.ca.reaches margins |
| 5 = DCIS in proximity |
| 6 = DCIS focally reaches margins |
| 7 = DCIS reaches margins |
| 9 = unknown |
|
I23B |
Margins after 1st operation |
CODED
[1]
| Evaluation of margins after first operation (if >1 intervention) |
1 = T does not reach margins |
| 2 = ca.in proximity |
| 3 = inv.ca.focally reaches margins |
| 4 = inv.ca.reaches margins |
| 5 = DCIS in proximity |
| 6 = DCIS focally reaches margins |
| 7 = DCIS reaches margins |
| 9 = unknown |
|
I24 |
min (inv.) |
NUMERIC (INT)
[3]
| Minimum distance of the tumour from the margins |
|
|
I24B |
min (inv.) |
NUMERIC (INT)
[3]
| Minimum distance of the tumour from the margins |
|
|
I25 |
max |
NUMERIC (INT)
[3]
| Maximum distance of the tumour from the margins |
|
|
I25A |
min (CDIS) |
NUMERIC (INT)
[3]
| Minimum distance of the tumour from the margins |
|
|
I25B |
min (CDIS) |
NUMERIC (INT)
[3]
| Minimum distance of the tumour from the margins |
|
|
I26 |
pT |
CODED
[4]
| pT |
X |
| 0 |
| IS |
| 1 |
| 1A |
| 1B |
| 1C |
| 1mic |
| 2 |
| 3 |
| 4 |
| 4A |
| 4B |
| 4C |
| 4D |
| 99 |
|
I27 |
Lymph nodes |
CODED
[1]
| Lymph nodes |
0 = negative |
| 1 = positive |
| 9 = unknown |
|
I28 |
pN |
CODED
[3]
| PN |
X = X |
| 0 = 0 |
| 0LS = 0LS |
| 1 = 1 |
| 1A = 1A |
| 1B = 1B |
| 1B1 = 1B1 |
| 1B2 = 1B2 |
| 1B3 = 1B3 |
| 1B4 = 1B4 |
| 2 = 2 |
| 3 = 3 |
| 999 = 999 |
|
I29 |
LN recovered |
NUMERIC (INT)
[2]
| Number of lymph nodes examined by the pathologist |
|
|
I30 |
Positive LN |
NUMERIC (INT)
[2]
| Number of axillary lymph nodes containing tumour |
|
|
I32 |
Histology no./date diagn. rep. |
TEXT
[13]
| Diagnostic histopathology report number |
|
|
I33 |
Date of diagnostic histopathology report |
DATE
[10]
| Date of diagnostic histopathology report |
|
|
I34 |
Date last report |
DATE
[10]
| Date of histopathology report on last surgery |
|
|
I35 |
Date LN report |
DATE
[10]
| Date of histopathology report on lymph nodes |
|
|
I36 |
Path. Dpt. |
TEXT
[20]
| Pathology department |
|
|
I37 |
Patholog. |
TEXT
[20]
| Pathologist |
|
|
I38 |
ER |
CODED
[1]
| Oestrogen receptor status |
0 = not performed |
| 1 = negative |
| 2 = positive |
| 9 = unknown |
|
I38A |
% pos. cells |
NUMERIC (INT)
[3]
| Percentage of positive cells |
|
|
I39 |
PgR |
CODED
[1]
| Progesterone receptor status |
0 = not performed |
| 1 = negative |
| 2 = positive |
| 9 = unknown |
|
I39A |
Score |
CODED
[1]
| Score |
0 = 0 |
| 1 = 1 |
| 2 = 2 |
| 3 = 3 |
| 4 = 4 |
| 5 = 5 |
| 6 = 6 |
| 7 = 7 |
| 8 = 8 |
| 9 = unknown |
|
I40 |
Method |
CODED
[1]
| Evaluation method adopted for hormonal receptor status |
1 = immunohistochemistry |
| 2 = biochemical |
| 3 = immunological |
| 9 = unknown |
|
I41 |
Other markers |
CODED
[1]
| Other prognostic markers |
0 = no |
| 1 = yes |
| 9 = unknown |
|
I41A |
|
TEXT
[20]
| |
|
|
I42 |
Date receptor status |
DATE
[10]
| Date of report on hormonal receptors status |
|
|
I43 |
Notes |
TEXT
[35]
| Notes |
|
|
Radiotherapy |
|
L01 |
Radiotherapy (RT) performed |
CODED
[1]
| Radiotherapy (RT) performed |
0 = no |
| 1 = yes |
| 2 = patient refusal |
| 9 = unknown |
|
L02 |
Radiotherapy dpt. |
TEXT
[20]
| Radiotherapy department |
|
|
L03 |
Date of presentation |
DATE
[10]
| Date of first RT appointment |
|
|
L04 |
Date of first RT |
DATE
[10]
| Date of first RT fraction |
|
|
L05 |
Scheduled date of last RT |
DATE
[10]
| Scheduled date of last RT fraction |
|
|
L06 |
Actual date of last RT |
DATE
[10]
| Actual date of last RT fraction |
|
|
L07 |
Dose per fraction (dGy) |
NUMERIC (INT)
[3]
| Conventional RT fraction |
|
|
L08 |
Reas. for departure |
TEXT
[20]
| Reason for not using conventional RT fraction |
|
|
L09 |
Total dose (dGy) |
NUMERIC (INT)
[3]
| Total administered dose |
|
|
L10 |
Boost dose (dGy) |
NUMERIC (INT)
[3]
| Boost dose administered |
|
|
L11 |
Breast |
CODED
[1]
| Breast |
0 = No |
| 1 = Cobalt60 |
| 2 = x-MV |
| 3 = Other |
| 8 = yes, unknown method |
| 9 = Unknown |
|
L12 |
MV |
NUMERIC (LONG)
[3]
| MV |
|
|
L13 |
Radiotherapy boost |
CODED
[1]
| Radiotherapy boost |
0 = No |
| 1 = Electrons |
| 2 = x-MV |
| 3 = Interstitial brachytherapy |
| 4 = Other |
| 8 = yes, unknown method |
| 9 = Unknown |
|
L14 |
MeV |
NUMERIC (LONG)
[3]
| MeV |
|
|
L15 |
Chest wall |
CODED
[1]
| Chest wall |
0 = No |
| 1 = Cobalt60 |
| 2 = x-MV |
| 3 = X-rays |
| 4 = Electrons |
| 5 = Contact brachytherapy |
| 7 = Other |
| 8 = yes, unknown method |
| 9 = Unknown |
|
L16 |
MeV |
NUMERIC (LONG)
[3]
| MeV |
|
|
L17 |
Supra/infra clavic.nodes |
CODED
[1]
| Supra/infra clavicular nodes |
0 = No |
| 1 = Cobalt60 |
| 2 = x-MV |
| 3 = Other |
| 9 = Unknown |
|
L18 |
MV |
NUMERIC (LONG)
[3]
| MV |
|
|
L19 |
Internal mamm.nodes |
CODED
[1]
| Internal mammary nodes |
0 = No |
| 1 = Cobalt60 |
| 2 = x-MV |
| 3 = Electrons |
| 4 = Other |
| 9 = Unknown |
|
L20 |
MeV |
NUMERIC (LONG)
[3]
| MeV |
|
|
L21 |
Axilla |
CODED
[1]
| Axilla |
0 = No |
| 1 = apex |
| 2 = in toto |
| 9 = unknown |
|
L22 |
|
CODED
[1]
| |
1 = Cobalt60 |
| 2 = x-MV |
| 3 = Other |
| 9 = Unknown |
|
L23 |
MV |
NUMERIC (LONG)
[3]
| MV |
|
|
L24 |
Interruption to therapy |
CODED
[1]
| Interruption to therapy for technical reasons |
0 = no |
| 1 = yes |
| 9 = unknown |
|
L25 |
Notes |
TEXT
[35]
| Notes |
|
|
Hormono\chemotherapy |
|
M01 |
Endocrine therapy performed |
CODED
[1]
| Endocrine therapy performed |
0 = no |
| 1 = yes |
| 2 = patient refusal |
| 9 = unknown |
|
M02 |
Ovarian ablation |
CODED
[1]
| Ovarian ablation performed |
0 = no |
| 1 = surgery |
| 2 = radiotherapy |
| 3 = GnRH analogs |
| 4 = other |
| 9 = unknown |
|
M03 |
other types |
TEXT
[20]
| Other type of ovarian ablation |
|
|
M04 |
Hormonotherapy |
CODED
[1]
| State if hormone therapy has been prescribed |
0 = no |
| 1 = yes |
| 9 = unknown |
|
M05 |
Drug |
CODED
[1]
| Drug prescribed |
1 = tamoxiphen |
| 2 = letrozole |
| 3 = formestan |
| 4 = anastrozole |
| 5 = exemestan |
| 6 = toremiphen |
| 7 = other |
| 9 = unknown |
|
M06 |
Other type of drug |
TEXT
[20]
| Other type of drug |
|
|
M07 |
Start date |
DATE
[10]
| Treatment start date |
|
|
M08 |
End date |
DATE
[10]
| Treatment end date |
|
|
M09 |
Expected duration (m) |
NUMERIC (INT)
[2]
| Expected duration of treatment in months |
|
|
M10 |
Withdrawal due to toxicity |
CODED
[1]
| Withdrawal due to toxicity |
0 = no |
| 1 = yes |
| 9 = unknown |
|
M11 |
Chemohormonotherapy |
CODED
[1]
| Treatment in association with chemotherapy |
0 = no |
| 1 = yes |
| 9 = unknown |
|
M12 |
Type of association |
CODED
[1]
| Type of association with chemotherapy |
1 = synchronous |
| 2 = sequential |
| 9 = unknown |
|
M13 |
Chemotherapy performed |
CODED
[1]
| Chemotherapy performed |
0 = no |
| 1 = yes |
| 2 = patient refusal |
| 9 = unknown |
|
M14 |
Start date |
DATE
[10]
| Date of first cycle |
|
|
M15 |
End date |
DATE
[10]
| Date of last cycle |
|
|
M15A |
Scheme |
CODED
[30]
| Combination of drugs |
1 = AC |
| 2 = CMF 1-8 |
| 3 = EPI+CMF 1-8 |
| 4 = FAC |
| 5 = FEC |
| 6 = EPI 120 |
| 7 = CEF 1-8 |
| 8 = EC |
| 9 = ADM-TAX |
| 10 = EPI-TAX |
| 11 = AT |
| 12 = other |
| 99 = unknown |
|
M28 |
Withdrawal due to toxicity |
CODED
[1]
| Withdrawal due to toxicity |
0 = no |
| 1 = yes |
| 9 = unknown |
|
M29 |
Dept. |
TEXT
[20]
| Department |
|
|
M30 |
Notes |
TEXT
[40]
| Notes |
|
|
M31 |
Breast Ca |
CODED
[1]
| Breast cancer |
0 = not documented |
| 1 = histologically documented |
| 2 = histologically documented (CB) |
| 3 = cytologically documented |
| 4 = clinically certain case |
|
M32 |
Histological report |
CODED
[1]
| Histology report is data source |
0 = no |
| 1 = yes, consulted |
| 2 = yes, copy in file |
| 9 = unknown |
|
M33 |
Specimen x-ray in file |
CODED
[1]
| X-ray of the operating specimen in file |
0 = no |
| 1 = yes |
| 9 = unknown |
|
Early complications |
|
M34 |
Breast |
CODED
[1]
| Postoperative complications of breast |
0 = none |
| 1 = haematoma |
| 2 = necrosis |
| 3 = abscess |
| 4 = dehiscence |
| 5 = other |
| 9 = unknown |
|
M35 |
Axilla |
CODED
[1]
| Postoperative complications of axilla |
0 = none |
| 1 = lymphorrhoea |
| 2 = lympho-schlerosis |
| 3 = lymphorrhoea and lymphsclerosis. |
| 4 = other |
| 9 = unknown |
|
M36 |
Post-radiotherapy |
CODED
[1]
| Post radiotherapy complications |
0 = none |
| 1 = serious radiation dermatititis |
| 2 = costal fracture |
| 3 = other |
| 9 = unknown |
|
M37 |
other type |
TEXT
[20]
| Other type of complication |
|
|
M38 |
Therapy for complications |
CODED
[1]
| Therapy undertaken for the complications |
0 = none |
| 1 = medical |
| 2 = surgical |
| 3 = physiotherapy |
| 4 = other |
| 9 = unknown |
|
M39 |
other therapy |
TEXT
[20]
| Other therapy for the complications |
|
|
Documentation |
|
N00 |
Operated |
CODED
[1]
| patient operated on |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N00A |
Reason for no intervention |
CODED
[1]
| Reason for non-intervention |
0 = not yet operated |
| 1 = refusal |
| 2 = inoperable cancer |
| 9 = unknown |
|
N00B |
Date of updating |
DATE
[10]
| Date of updating |
|
|
Recurrence |
|
N01 |
Recurrence |
CODED
[1]
| Loco-regional recurrence is present |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N01B |
Diagnosis of first relapse |
CODED
[1]
| Diagnosis of first relapse |
2 = in situ |
| 3 = microinvasive |
| 4 = invasive |
| 6 = other |
| 9 = unknown |
|
N02 |
Breast |
CODED
[1]
| Local recurrence in residual breast |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N03 |
Date |
DATE
[10]
| Date of diagnosis of first breast recurrence |
|
|
N04 |
Axilla |
CODED
[1]
| Regional recurrence in axilla |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N05 |
Date |
DATE
[10]
| Date of diagnosis of first axillary recurrence |
|
|
N06 |
Chest wall |
CODED
[1]
| Regional recurrence in chest wall |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N07 |
Date |
DATE
[10]
| Date of diagnosis of chest wall recurrence |
|
|
N08 |
Other |
CODED
[1]
| Other loco-regional recurrence |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N09 |
Other site of recurrence |
TEXT
[30]
| Other site of recurrence |
|
|
Late complications |
|
N10 |
Late complications |
CODED
[1]
| Late complications |
0 = no |
| 1 = yes |
| 8 = not evaluated |
| 9 = unknown |
|
N11 |
Lymphoedema |
CODED
[1]
| Lymphoedema |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N12 |
Date of diagnosis |
DATE
[10]
| Date of diagnosis of lymphoedema |
|
|
N13 |
Assessment method |
CODED
[1]
| Method to assess lymphoedema |
1 = arm circunference |
| 2 = other |
| 9 = unknown |
|
N14 |
other method |
TEXT
[21]
| Other assessment method |
|
|
N15 |
Difference (%) |
NUMERIC (INT)
[3]
| Difference in arm circumference compared to contralateral arm, in percent |
|
|
N16 |
Loco-regional pain |
CODED
[8]
| Loco-regional pain |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N17 |
Date of diagnosis |
DATE
[10]
| Date of loco-regional pain diagnosis |
|
|
N18 |
Shoulder-joint distress |
CODED
[1]
| Shoulder-joint distress |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N19 |
Date of diagnosis |
DATE
[10]
| Date of shoulder-joint distress diagnosis |
|
|
N20 |
Other |
CODED
[1]
| Other complications |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N21 |
Other complications |
TEXT
[20]
| Other complications |
|
|
N22 |
Date of diagnosis |
DATE
[10]
| Date of diagnosis of other complications |
|
|
N23 |
Notes |
TEXT
[35]
| Notes |
|
|
N24 |
Date of visit |
DATE
[10]
| Date of examination |
|
|
N25 |
Reduced overall dimensions |
CODED
[1]
| Reduced overall dimensions |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N26 |
Percentage reduction in overall dimensions |
NUMERIC (INT)
[3]
| Percentage reduction in overall dimensions |
|
|
N27 |
Changes in substance loss profile |
CODED
[1]
| Alterations in loss of substance profile |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N28 |
mm. |
NUMERIC (SINGLE)
[5]
| mm. alterations in loss of substance profile |
|
|
N29 |
Jugular-nipple distance (healthy side) |
NUMERIC (SINGLE)
[5]
| Jugular-nipple distance (healthy side) |
|
|
N30 |
Horizontal plane difference |
NUMERIC (SINGLE)
[5]
| Horizontal plane distance |
|
|
N31 |
Vertical plane difference |
NUMERIC (SINGLE)
[5]
| Vertical plane difference |
|
|
N32 |
Non linear scar |
CODED
[1]
| Non-linear scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N33 |
Retracting scar |
CODED
[1]
| Retracting scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N34 |
Keloid scar |
CODED
[1]
| Keloid scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N35 |
Subcutaneous fibrosis |
CODED
[1]
| Subcutaneous fibrosis |
0 = no |
| 1 = yes, palpable |
| 2 = yes, visible and palp. |
| 9 = unknown |
|
N36 |
Teleangiectasis |
CODED
[1]
| Teleangectasis |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N37 |
Stain |
CODED
[1]
| Stain |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N38 |
Keloid scar |
CODED
[1]
| Keloid scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N39 |
Retracting scar |
CODED
[1]
| Retracting scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
N40 |
Adherent scar |
CODED
[1]
| Adherent scar |
0 = no |
| 1 = yes |
| 9 = unknown |
|
status |
|
NUMERIC (INT)
[1]
| |
|
|
INTERVENTIONS |
|
E01 |
Admission date |
DATE
[10]
| Date of admission for 1st intervention |
|
|
E02 |
Discharge date |
DATE
[10]
| Date of a discharge after 1st intervention |
|
|
E03 |
Dept. Code |
TEXT
[6]
| Hospital dept. code at 1st intervention |
|
|
E04 |
Dept. |
TEXT
[20]
| Other hospital dept. at 1st intervention |
|
|
E05 |
Date of interv. |
DATE
[10]
| Date of 1st breast operation |
|
|
E06 |
Surgical team |
TEXT
[20]
| Name of 1st surgeon for 1st breast operation |
|
|
E06B |
Name of 2nd surgeon for 1st breast operation |
TEXT
[20]
| Name of 2nd surgeon for 1st breast operation |
|
|
E07 |
Anaesthes. |
CODED
[1]
| Type of anaesthesia at 1st breast operation |
1 = local |
| 2 = general |
| 9 = unknown |
|
E08 |
Breast procedure |
CODED
[1]
| Type of conclusive operation performed during surgical session (1st breast operation) |
2 = excisional biopsy/lumpectomy |
| 3 = wide resection |
| 4 = quadrantectomy |
| 5 = subcutaneous mastectomy |
| 6 = mastectomy |
| 7 = skin sparing mastectomy |
| 8 = other |
| 9 = unknown |
|
E08B |
Periareolar inc. |
CODED
[1]
| Type of periareolar incision in 1st breast operation |
1 = simple |
| 2 = widened |
| 3 = skin on lesion |
| 4 = skin on scar |
| 5 = radial extension |
| 9 = unknown |
|
E09 |
other |
TEXT
[20]
| Other type of intervention (1st breast operation) |
|
|
E10 |
Initial proc. |
CODED
[1]
| Breast procedure prior to conclusive operation in the same surgical session |
0 = none |
| 1 = biopsy |
| 2 = lumpectomy |
| 3 = wide excision |
| 4 = quadrantectomy |
| 9 = unknown |
|
E11 |
Marker posit. |
CODED
[1]
| Positioning of marker wires or other means of localisation of impalpable breast lesions |
0 = none |
| 1 = hypodermic or tatoo |
| 2 = hookwire system |
| 3 = carbon deposition |
| 4 = other |
| 9 = unknown |
|
E12 |
other |
TEXT
[20]
| Other positioning (1st breast operation) |
|
|
E13 |
Specimen X-ray |
CODED
[1]
| Specimen X-ray (1st breast operation) |
0 = no |
| 1 = yes, 1 view |
| 2 = yes, 2 views |
| 3 = yes |
| 9 = unknown |
|
E13B |
Specimen X-ray result |
CODED
[1]
| Result of RX specimen (1st breast operation) |
0 = No lesion |
| 1 = Lesion present and centred |
| 2 = Lesion present but not centred |
| 9 = unknown |
|
E14 |
Frozen section - lesion |
CODED
[1]
| Result of frozen section of the lesion (1st breast operation) |
0 = not performed |
| 1 = yes, negative |
| 2 = yes, dubious |
| 3 = yes, positive for CIS |
| 4 = yes, positive for inv. Ca. |
| 5 = yes, result unknown |
| 9 = unknown |
|
E15 |
Frozen section - margins |
CODED
[1]
| Result of frozen section of the lesion (specimen margins) (1st breast operation) |
0 = not performed |
| 1 = T does not reach margin |
| 2 = CIS in proximity |
| 3 = inv. ca. in proximity |
| 4 = CIS reaches margin |
| 5 = inv. Ca. reaches margin |
| 6 = done, result unknown |
| 9 = unknown |
|
E16 |
Weight of specimen |
NUMERIC (INT)
[3]
| Total weight (in grams) of the mammary tissue excised (1st breast operation) |
|
|
E17 |
Antibiotic prophylaxis |
CODED
[2]
| Antibiotic prophylaxis at 1st intervention |
0 = no |
| 1 = yes |
| 9 = unknown |
|
E18 |
Marker drawing |
CODED
[2]
| Drawing of patient at 1st intervention |
0 = not done |
| 1 = with patient supine |
| 2 = with patient sitting |
| 3 = done, unknown pos. |
| 9 = unknown |
|
E19 |
Length of incision (mm) |
NUMERIC (SINGLE)
[4]
| Length of incision at 1st intervention |
|
|
E20 |
Location of incision |
CODED
[2]
| Location of incision at 1st intervention |
1 = Above the tumour |
| 2 = Away from the tumour |
| 9 = unknown |
|
E21 |
Skin excision |
CODED
[2]
| Skin excision at 1st intervention |
1 = done |
| 2 = not done |
| 3 = unknown |
|
E22 |
Scalpel no. |
CODED
[2]
| Scalpel number at 1st intervention |
1 = 10 |
| 2 = 10A |
| 3 = 11 |
| 4 = 12 |
| 5 = 15 |
| 6 = 18 |
| 7 = 20 |
| 8 = 21 |
| 9 = 22 |
| 10 = 23 |
| 11 = 24 |
| 12 = 25 |
| 99 = unknown |
|
E23 |
Type of incision |
CODED
[2]
| Type of incision at 1st intervention |
1 = radial |
| 2 = peri-areolar |
| 3 = arcued concentric |
| 4 = under-breast sulcus |
| 5 = other |
| 9 = unknown |
|
E24 |
Excision of lesion |
CODED
[2]
| Type of scalpel used for excision at 1st intervention |
1 = with scalpel or scissors |
| 2 = with acusector |
| 3 = with ultrasound scalpel |
| 4 = other |
| 9 = unknown |
|
E25 |
Exc. of sheath of musc. tissue |
CODED
[2]
| Excision of sheath of muscular tissue at 1st intervention |
0 = no |
| 1 = yes |
| 9 = unknown |
|
E26 |
Tissue mobilis. and remodelling |
CODED
[2]
| Mobilisation and remodelling of the tissue at 1st intervention |
0 = no |
| 1 = yes |
| 9 = unknown |
|
E27 |
Suture of breast parenchyma |
CODED
[2]
| Suture of breast parenchyma at 1st intervention |
0 = no |
| 1 = yes patient sitting |
| 2 = yes patient supine |
| 3 = yes, unknown position |
| 9 = unknown |
|
E28 |
Skin suture |
CODED
[2]
| Cutaneous suture at 1st intervention |
1 = detached/stitches |
| 2 = det./silk |
| 3 = det./Steri-strip |
| 4 = det./glue |
| 5 = intradermal stitches |
| 6 = continual/Steri-strip |
| 7 = cont./glue |
| 8 = intradermal continual |
| 9 = cutis stitches |
| 10 = cut.silk |
| 11 = cut.Steri-strip |
| 12 = cut.glue |
|
E29 |
Drainage |
CODED
[2]
| Draining at 1st intervention |
0 = none |
| 1 = "falling" |
| 2 = capillary |
| 3 = aspiration |
| 9 = unknown |
|
E30 |
Medication |
CODED
[2]
| Medication at 1st intervention |
0 = no |
| 1 = compressive |
| 2 = remodelling |
| 3 = compr.and remod. |
| 4 = flat |
| 9 = unknown |
|
E31 |
Duration in hours |
NUMERIC (INT)
[2]
| Duration in hours of bandaging at 1st intervention |
|
|
E32 |
Axilla incision |
CODED
[2]
| Axilla incision at 1st intervention |
1 = separated |
| 2 = in continuity |
| 3 = longitudinal |
| 4 = transversal |
| 5 = transversal curvilinear |
| 9 = unknown |
|
E33 |
Controlateral remodelling |
CODED
[2]
| Controlateral remodelling at 1st intervention |
0 = no |
| 1 = yes |
| 9 = unknown |
|
F01 |
Admission date |
DATE
[10]
| Date of admission for 2nd intervention |
|
|
F02 |
Discharge date |
DATE
[10]
| Date of a discharge after 2nd intervention |
|
|
F03 |
Dept. Code |
TEXT
[6]
| Hospital dept. code at 2nd intervention |
|
|
F04 |
Dept. |
TEXT
[20]
| Other hospital dept. at 2nd intervention |
|
|
F05 |
Date of interv. |
DATE
[10]
| Date of 2nd breast operation |
|
|
F06 |
Surgical team |
TEXT
[20]
| Name of 1st surgeon for 2nd breast operation |
|
|
F06B |
Name of 2nd surgeon for 2nd breast operation |
TEXT
[20]
| Name of 2nd surgeon for 2nd breast operation |
|
|
F08 |
Breast procedure |
CODED
[1]
| Type of conclusive operation performed during surgical session (2nd breast operation) |
2 = lumpectomy |
| 3 = wide resection |
| 4 = quadrantectomy |
| 5 = subcutaneous mastectomy |
| 6 = mastectomy |
| 7 = skin sparing mastectomy |
| 8 = other |
| 9 = unknown |
|
F08B |
Periareolar inc. |
CODED
[1]
| Type of periareolar incision in 2nd breast operation |
1 = simple |
| 2 = widened |
| 3 = skin on lesion |
| 4 = skin on scar |
| 5 = radial extension |
| 9 = unknown |
|
F09 |
other |
TEXT
[20]
| Other type of intervention (2nd breast operation) |
|
|
F17 |
Antibiotic prohylaxis |
CODED
[2]
| Antibiotic prophylaxis at 2nd breast operation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
F18 |
Marker drawing |
CODED
[2]
| Drawing of patient at 2nd breast operation |
0 = not done |
| 1 = with patient supine |
| 2 = with patient sitting |
| 3 = done, unknown pos. |
| 9 = unknown |
|
F19 |
Length of incision (mm) |
NUMERIC (SINGLE)
[4]
| Length of incision at 2nd breast operation |
|
|
F20 |
Location of incision |
CODED
[2]
| Location of incision at 2nd breast operation |
1 = Above the tumour |
| 2 = Away from the tumour |
| 9 = unknown |
|
F21 |
Skin excision |
CODED
[2]
| Skin excision at 2nd breast operation |
1 = done |
| 2 = not done |
| 3 = unknown |
|
F22 |
Scalpel no. |
CODED
[2]
| Scalpel number at 2nd breast operation |
1 = 10 |
| 2 = 10A |
| 3 = 11 |
| 4 = 12 |
| 5 = 15 |
| 6 = 18 |
| 7 = 20 |
| 8 = 21 |
| 9 = 22 |
| 10 = 23 |
| 11 = 24 |
| 12 = 25 |
| 99 = unknown |
|
F23 |
Type of incision |
CODED
[2]
| Type of incision at 2nd breast operation |
1 = radial |
| 2 = peri-areolar |
| 3 = arcued concentric |
| 4 = under-breast sulcus |
| 5 = other |
| 9 = unknown |
|
F24 |
Excision of lesion |
CODED
[2]
| Type of scalpel used for excision at 2nd breast operation |
1 = with scalpel or scissors |
| 2 = with acusector |
| 3 = with ultrasound scalpel |
| 4 = other |
| 9 = unknown |
|
F25 |
Exc. of sheath of musc. tissue |
CODED
[2]
| Excision of sheath of muscular tissue at 2nd breast operation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
F26 |
Tissue mobilis. and remodelling |
CODED
[2]
| Mobilisation and remodelling of tissue at 2nd breast operation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
F27 |
Suture of breast parenchyma |
CODED
[2]
| Suture of breast parenchyma at 2nd breast operation |
0 = no |
| 1 = yes radial |
| 2 = yes concentric |
| 3 = yes patient sitting |
| 4 = yes patient supine |
| 9 = unknown |
|
F28 |
Skin suture |
CODED
[2]
| Cutaneous suture at 2nd breast operation |
1 = detached/stitches |
| 2 = det./silk |
| 3 = det./Steri-strip |
| 4 = det./glue |
| 5 = intradermal stitches |
| 6 = continual/Steri-strip |
| 7 = cont./glue |
| 8 = intradermal continual |
| 9 = cutis stitches |
| 10 = cut.silk |
| 11 = cut.Steri-strip |
| 12 = cut.glue |
|
F29 |
Drainage |
CODED
[2]
| Drainage at 2nd breast operation |
0 = none |
| 1 = "falling" |
| 2 = capillary |
| 3 = aspiration |
| 9 = unknown |
|
F30 |
Medication |
CODED
[2]
| Medication at 2nd breast operation |
0 = no |
| 1 = compressive |
| 2 = remodelling |
| 3 = compr. and remod. |
| 4 = flat |
| 9 = unknown |
|
F31 |
Duration in hours |
NUMERIC (INT)
[2]
| Duration in hours of bandaging at 2nd breast operation |
|
|
F32 |
Incision of axilla |
CODED
[2]
| Axillary incision at 2nd breast operation |
1 = separated |
| 2 = in continuity |
| 3 = longitudinal |
| 4 = transversal |
| 5 = transversal curvilinear |
| 9 = unknown |
|
F33 |
Controlateral remodelling |
CODED
[2]
| Controlateral remodelling at 2nd breast operation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
F34 |
Admission date |
DATE
[10]
| Date of admission for 3rd breast operation |
|
|
F35 |
Discharge date |
DATE
[10]
| Date of discharge after 3rd breast operation |
|
|
F36 |
Dept. Code |
TEXT
[6]
| Hospital dept. code at 3rd breast operation |
|
|
F37 |
Dept. |
TEXT
[20]
| Other dept. at 3rd breast operation |
|
|
F38 |
Date of interv. |
DATE
[10]
| Date of 3rd breast operation |
|
|
F39 |
Surgical team |
TEXT
[20]
| Name of 1st surgeon for 3rd breast operation |
|
|
F39B |
Name of 2nd surgeon for 3rd breast operation |
TEXT
[20]
| Name of 2nd surgeon for 3rd breast operation |
|
|
F40 |
Breast procedure |
CODED
[1]
| Type of conclusive operation performed during 3rd surgical session |
3 = wide resection |
| 4 = quadrantectomy |
| 5 = subcutaneous mastectomy |
| 6 = mastectomy |
| 7 = skin sparing mastectomy |
| 8 = other |
| 9 = unknown |
|
F40B |
Periareolar inc. |
CODED
[1]
| Type of periareolar incision at 3rd breast operation |
1 = simple |
| 2 = widened |
| 3 = skin on lesion |
| 4 = skin on scar |
| 5 = radial extension |
| 9 = unknown |
|
F41 |
other |
TEXT
[20]
| Other type of intervention (3rd breast operation) |
|
|
Axillary dissection |
|
G01 |
Execution of axillary operation |
CODED
[1]
| Execution of axillary operation |
0 = no |
| 1 = yes |
| 9 = unknown |
|
G02 |
Timing |
CODED
[1]
| Time relationship between axillary operation and breast surgery on the same lesion |
1 = 1st breast surgery |
| 2 = 2nd breast surgery |
| 3 = 3rd breast surgery |
| 4 = at a separate session |
| 9 = unknown |
|
G03 |
Admission date |
DATE
[10]
| Date of admission (axillary operation) |
|
|
G04 |
Discharge date |
DATE
[10]
| Date of discharge (axillary operation) |
|
|
G05 |
Dept. Code |
TEXT
[6]
| Hospital department code |
|
|
G06 |
Dept. |
TEXT
[20]
| Hospital department |
|
|
G07 |
Date of interv. |
DATE
[10]
| Date of intervention (axillary operation) |
|
|
G08 |
Surgical team |
TEXT
[20]
| Name of 1st surgeon for axillary operation |
|
|
G08B |
Name of 2nd surgeon for axillary operation |
TEXT
[20]
| Name of 2nd surgeon for axillary operation |
|
|
G09 |
Dissection type |
CODED
[1]
| Type of axillary operation (level) |
1 = level I |
| 2 = levels I+II |
| 3 = levels I+II+III |
| 4 = other |
| 9 = unknown |
|
G10 |
other |
TEXT
[20]
| Other LN procedure |
|
|
G11 |
Dissection of TD nerve |
CODED
[1]
| Section of thoracodorsal nerve |
0 = no |
| 1 = yes |
| 9 = unknown |
|
G12 |
Dissection of ICB nerve |
CODED
[1]
| Section of intercostobrachial nerve |
0 = no |
| 1 = yes |
| 9 = unknown |
|
G13 |
Dissection of LT nerve |
CODED
[1]
| Section of long thoracic nerve (Bell's nerve) |
0 = no |
| 1 = yes |
| 9 = unknown |
|
G14 |
Pectoral muscles |
CODED
[1]
| Total or partial excision of pectoral muscles |
1 = both intact |
| 2 = minor removed |
| 3 = both removed |
| 9 = unknown |
|
G15 |
Skin suture |
CODED
[2]
| Cutaneous suture in the axillary dissection |
1 = detached/stitches |
| 2 = det./silk |
| 3 = det./Steri-strip |
| 4 = det./glue |
| 5 = intradermal stitches |
| 6 = continual/Steri-strip |
| 7 = cont./glue |
| 8 = intradermal continual |
| 9 = cutis stitches |
| 10 = cut.silk |
| 11 = cut.Steri-strip |
| 12 = cut.glue |
|
Surgery summary |
|
H01 |
Number of operations |
CODED
[1]
| Number of interventions made for the same lesion |
1 = one |
| 2 = two |
| 3 = more than two |
| 9 = unknown |
|
H02 |
Reason for more than one op. |
CODED
[1]
| Reason for recourse to subsequent interventions |
1 = dissection |
| 2 = edges or radicalisation |
| 3 = edges+dissec. |
| 4 = neoad treatment. |
| 5 = other |
| 9 = unknown |
|
H03 |
other |
TEXT
[20]
| Other reason for several interventions |
|
|
H04 |
Immediate breast reconstr. |
CODED
[1]
| Immediate reconstruction |
0 = no |
| 1 = yes |
| 9 = unknown |
|
H05 |
Type of reconstruction |
CODED
[1]
| Type of immediate reconstruction |
0 = none |
| 1 = tissue expander |
| 2 = prosthesis |
| 3 = flap |
| 4 = other |
| 9 = unknown |
|
H06 |
other |
TEXT
[20]
| Other type of reconstruction |
|
|
H07 |
Failed biopsy |
CODED
[1]
| Failed biopsy |
0 = no |
| 1 = yes |
| 9 = unknown |
|
H08 |
date |
DATE
[10]
| Date of failed biopsy |
|
|
H09 |
Reason |
CODED
[1]
| Reason for failed biopsy |
1 = reperage |
| 2 = radiologist |
| 3 = pathologist |
| 4 = surgeon |
| 5 = other |
| 9 = unknown |
|
H10 |
other reason |
TEXT
[20]
| Other reason for failed biopsy |
|
|
H11 |
Surgeon |
TEXT
[20]
| Name of surgeon |
|
|
H12 |
Dept. Code |
TEXT
[6]
| Hospital dept. code |
|
|
H13 |
Dept. |
TEXT
[16]
| Other dept. |
|
|
H14 |
Notes |
TEXT
[35]
| Notes |
|
|
Sentinel lymph node |
|
P01 |
Sentinel lymph node procedure |
CODED
[1]
| Sentinel lymph node procedure |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P02 |
Timing |
CODED
[1]
| Time relationship between SLN and breast surgery on the same lesion |
1 = 1st breast surgery |
| 2 = 2nd breast surgery |
| 3 = 3rd breast surgery |
| 4 = at a separate session |
| 9 = unknown |
|
P03 |
Admission date |
DATE
[10]
| Date of admission (sentinel lymph node) |
|
|
P04 |
Discharge date |
DATE
[10]
| Date of discharge (sentinel lymph node) |
|
|
P05 |
Dept. Code |
TEXT
[6]
| Hospital department code |
|
|
P06 |
Dept. |
TEXT
[20]
| Hospital department |
|
|
P07 |
Date of interv. |
DATE
[10]
| Date of intervention on sentinel lymph node |
|
|
P08 |
Surgical team |
TEXT
[20]
| Name of 1st surgeon sentinel lymph node |
|
|
P09 |
Name of 2nd surgeon sentinel lymph node |
TEXT
[20]
| Name of 2nd surgeon sentinel lymph node |
|
|
P10 |
Blue dye |
CODED
[1]
| Blue dye |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P11 |
Minutes prior to intervention |
NUMERIC (BYTE)
[1]
| Minutes prior to intervention |
|
|
P12 |
Number of injections |
NUMERIC (BYTE)
[1]
| Number of injections |
|
|
P13 |
Volume (cc) |
NUMERIC (LONG)
[4]
| Volume of dye |
|
|
P14 |
Intradermal injection |
CODED
[1]
| Site of intradermal injection of dye |
0 = no |
| 1 = site of higher count |
| 2 = subareolar site |
| 3 = subcutaneous site |
| 4 = in cavity |
| 5 = site of previous biopsy |
| 9 = unknown |
|
P15 |
Intratumoural |
CODED
[1]
| Intratumoural injection |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P16 |
Peritumoural |
CODED
[1]
| Peritumoural injection |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P17 |
Lymphatic collectors |
CODED
[1]
| Lymphatic collectors |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P18 |
Number of nodes |
CODED
[1]
| Number of lymph nodes |
0 = 0 |
| 1 = 1 |
| 2 = 2 |
| 3 = 3 |
| 4 = >3 |
| 9 = unknown |
|
P19 |
Isotope |
CODED
[1]
| Radio guided |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P20 |
Hours of injection prior to intervention |
NUMERIC (BYTE)
[1]
| Hours prior to intervention |
|
|
P21 |
Dose injected (MBq) |
NUMERIC (LONG)
[4]
| Dose injected (MBq) |
|
|
P22 |
Subcutaneous |
CODED
[1]
| Subcutaneous injection |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P23 |
Peritumoural |
CODED
[1]
| Peritumoural injection |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P24 |
Intratumoural |
CODED
[1]
| Intratumoural injection |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P25 |
Site of previous biopsy |
CODED
[1]
| Site of previous biopsy |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P26 |
Lymphoscintigraphy identification |
CODED
[2]
| lymphoscintigraphical identification |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P27 |
Identification time |
NUMERIC (BYTE)
[1]
| Hours for lymphoscintigraphical identification |
|
|
P28 |
Minutes for lymphoscintigraphical identification |
NUMERIC (BYTE)
[1]
| Minutes for lymphoscintigraphical identification |
|
|
P29 |
Marker positioning |
CODED
[1]
| Positioning of marker |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P30 |
Lymphatic collectors |
CODED
[1]
| Lymphatic collectors |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P31 |
Stations |
CODED
[1]
| Axillary stations |
1 = 1 axillary |
| 2 = 2 axillary |
| 3 = internal breast |
| 4 = 1 int. breast.1 axillary. |
| 5 = intramammary |
| 9 = unknown |
|
P32 |
Number of lymph nodes |
CODED
[1]
| Number of lymph nodes |
0 = 0 |
| 1 = 1 |
| 2 = 2 |
| 3 = 3 |
| 4 = >3 |
| 9 = unknown |
|
P33 |
Pre-operating isotope count |
CODED
[1]
| Preoperating isotope count |
1 = 0-8 |
| 2 = 9-30 |
| 3 = 31-100 |
| 4 = >100 |
| 9 = unknown |
|
P34 |
Intra-operating isotope count |
CODED
[1]
| Intraoperating isotope count |
1 = 0-8 |
| 2 = 9-30 |
| 3 = 31-100 |
| 4 = 101-200 |
| 5 = 201-300 |
| 6 = 301-400 |
| 7 = 401-500 |
| 8 = >500 |
| 9 = unknown |
|
P35 |
Residual axilla isotope count |
CODED
[1]
| Isotope count at residual axilla |
1 = <30 |
| 2 = >30 |
| 9 = unknown |
|
P36 |
Coinciding LN |
CODED
[1]
| Coinciding lymph nodes |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P37 |
Time for identification (min) |
NUMERIC (BYTE)
[1]
| Time for identification (min) |
|
|
P38 |
Frozen section |
CODED
[1]
| Frozen section result |
1 = not done |
| 2 = not involved |
| 3 = involved |
| 4 = not found |
| 9 = unknown |
|
P39 |
Histology |
CODED
[1]
| Definitive histologic result |
2 = not involved |
| 3 = involved |
| 4 = not found |
| 9 = unknown |
|
P40 |
if involved |
CODED
[1]
| Descriptive result (if invaded LN) |
1 = capsular break |
| 2 = massive |
| 3 = embolic |
| 4 = only immunohystochemical |
| 9 = unknown |
|
P41 |
Dissection of TD nerve |
CODED
[1]
| Dorsal thoracic nerve sectioned |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P42 |
Dissection of ICB nerve |
CODED
[1]
| Intercostobrachial nerve sectioned |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P43 |
Dissection of LT nerve |
CODED
[1]
| Long thoracic nerve sectioned |
0 = no |
| 1 = yes |
| 9 = unknown |
|
P44 |
Skin suture |
CODED
[1]
| Cutaneous suture of sentinel lymph node |
1 = detached/stitches |
| 2 = det./silk |
| 3 = det./Steri-strip |
| 4 = det./glue |
| 5 = intradermal stitches |
| 6 = continual/Steri-strip |
| 7 = cont./glue |
| 8 = intradermal continual |
| 9 = cutis stitches |
| 10 = cut.silk |
| 11 = cut.Steri-strip |
| 12 = cut.glue |