INVAS_CARC_BREAST
Description:
Stores data for College of American Pathologists (CAP) form 76012-INVASIVE CARCINOMA OF THE BREAST: Complete Excision (Less Than Total Mastectomy, Including Specimens Designated Biopsy, Lumpectomy, Quadrantectomy, and Partial Mastectomy With or Without Axillary Contents) and Mastectomy (Total, Modified Radical, Radical With or Without Axillary Contents).

Primary Key
Column Name Ordinal Position
RESULT_ID 1

Column Information
Name Type Discontinued?
1 RESULT_ID VARCHAR No
The unique identifier for the result record.
2 TUMOR_SITE_SPECIFY VARCHAR No
CAP synoptic form item: Specify tumor site.
3 CLOCK_POSITION_C_NAME VARCHAR No
CAP synoptic form item: Specify Clock Position of Tumor Site.
May contain organization-specific values: Yes
Category Entries:
1 o'clock
2 o'clock
3 o'clock
4 o'clock
5 o'clock
6 o'clock
7 o'clock
8 o'clock
9 o'clock
10 o'clock
11 o'clock
12 o'clock
Other
4 CAP_COMMENTS VARCHAR No
CAP synoptic form item: General comments.
5 SPEC_INTEGRITY_C_NAME VARCHAR No
CAP synoptic form item: Specimen Integrity.
May contain organization-specific values: Yes
Category Entries:
Intact
Fragmented
Single intact specimen (margins can be evaluated)
Multiple designated specimens (e.g., main excision and identified margins)
Fragmented (margins cannot be evaluated with certainty)
Morcellated hysterectomy specimen
Intact hysterectomy specimen
Disrupted
Indeterminate
Other
Not specified
6 SPEC_INTEGRITY_SPFY VARCHAR No
CAP synoptic form item: Specify specimen integrity.
7 SPEC_PROC_SPECIFY VARCHAR No
CAP synoptic form item: Specify the Specimen Procedure.
8 SPEC_SIZE_GREATEST NUMERIC No
CAP synoptic form item: Specimen Greatest Size.
9 SPEC_SIZE_ADDL NUMERIC No
CAP synoptic form item: Specimen size additional dimension (length).
10 SPEC_SIZE_ADDL2 NUMERIC No
CAP synoptic form item: Specimen size additional dimension (width).
11 TUMOR_SIZE_GREAT NUMERIC No
CAP synoptic form item: Tumor Greatest Size.
12 TUMOR_SIZE_ADDL NUMERIC No
CAP synoptic form item: Tumor Size (length).
13 TUMOR_SIZE_ADDL2 NUMERIC No
CAP synoptic form item: Tumor Size (width).
14 TUMOR_SIZE_SPECIFY VARCHAR No
CAP synoptic form item: Specify Tumor Size.
15 DERML_LYM_VAS_INV_C_NAME VARCHAR No
CAP synoptic form item: Dermal Lymph-Vascular Invasion.
May contain organization-specific values: Yes
Category Entries:
No skin present
Not identified
Present
Indeterminate
16 RADIOLOG_FIND_SPFY VARCHAR No
CAP synoptic form item: Specify Radiologic Findings.
17 HST_BRST_CANCR_SPFY VARCHAR No
CAP synoptic form item: Specify Prior History of Breast Cancer.
18 PRESRG_INV_CNM_SPFY VARCHAR No
CAP synoptic form item: Specify Prior Presurgical (neoadjuvant) Therapy for this Diagnosis of Invasive Carcinoma.
19 SPECIMEN_OTHER_SPFY VARCHAR No
CAP synoptic form item: Specify other specimen.
20 LYMPH_ND_SAMPL_SPFY VARCHAR No
CAP synoptic form item: Specify lymph node sampling.
21 DCIS_IS_PRESENT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Is Present.
May contain organization-specific values: Yes
Category Entries:
Extensive intraductal component (EIC) negative
EIC positive
Only DCIS is present after presurgical (neoadjuvant) therapy
22 LOBUL_CARC_IN_SIT_C_NAME VARCHAR No
CAP synoptic form item: Lobular Carcinoma In Situ (LCIS).
May contain organization-specific values: Yes
Category Entries:
Not identified
Present
23 HIST_INV_CARC_C_NAME VARCHAR No
CAP synoptic form item: Histologic Type of Invasive Carcinoma.
May contain organization-specific values: Yes
Category Entries:
Ductal carcinoma in situ with microinvasion
Lobular carcinoma in situ with microinvasion
Ductal carcinoma in situ involving nipple skin (Paget disease) with microinvasion
Invasive ductal carcinoma (no special type or not otherwise specified)
Invasive lobular carcinoma
Invasive carcinoma with ductal and lobular features ("Mixed type carcinoma")
Invasive mucinous carcinoma
Invasive medullary carcinoma
Invasive papillary carcinoma
Invasive micropapillary carcinoma
Invasive tubular carcinoma
Invasive cribriform carcinoma
Invasive carcinoma, type cannot be determined
Other(s)
24 HIST_INV_CARC_SPFY VARCHAR No
CAP synoptic form item: Specify Histologic Type of Invasive Carcinoma.
25 SIZE_DCIS_GREAT_DIM NUMERIC No
CAP synoptic form item: Estimated Size of Ductal Carcinoma In Situ (DCIS) Greatest Dimension.
26 DCIS_ADDL_DIMENSION NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Additional Dimension Length.
27 DCIS_ADDL_DIM_2 NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Additional Dimension Width.
28 NUM_BLOCK_EXAM_DCIS NUMERIC No
CAP synoptic form item: Number of Blocks Examined for Ductal Carcinoma In Situ (DCIS).
29 NUM_BLOCKS_DCIS NUMERIC No
CAP synoptic form item: Number of Blocks With Ductal Carcinoma In Situ (DCIS).
30 ARCHITECT_PAT_SPFY VARCHAR No
CAP synoptic form item: Specify Architectural Patterns.
31 NUCLEAR_GRADE_C_NAME VARCHAR No
CAP synoptic form item: Nuclear Grade.
May contain organization-specific values: Yes
Category Entries:
Grade I (low)
Grade II (intermediate)
Grade III (high)
32 NECROSIS_C_NAME VARCHAR No
CAP synoptic form item: Necrosis.
May contain organization-specific values: Yes
Category Entries:
Not identified
Present
Present, focal (small foci or single cell necrosis)
Present, central (expansive "comedo" necrosis)
Not applicable
Cannot be determined
33 GLANDUL_TUBL_DIFF_C_NAME VARCHAR No
CAP synoptic form item: Glandular (Acinar) / Tubular Differentiation.
May contain organization-specific values: Yes
Category Entries:
Score 1: > 75% of tumor area forming glandular / tubular structures
Score 2: 10 to 75% of tumor area forming glandular / tubular structures
Score 3: < 10% of tumor area forming glandular / tubular structures
Only microinvasion present (not graded)
Score cannot be determined
34 NUCLEAR_PLEOMRPHS_C_NAME VARCHAR No
CAP synoptic form item: Nuclear Pleomorphism.
May contain organization-specific values: Yes
Category Entries:
Score 1: Nuclei small with little increase in size in comparison with normal breast
Score 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and
Score 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation
Only microinvasion present (not graded)
Score cannot be determined
35 MITOTIC_COUNT_C_NAME VARCHAR No
CAP synoptic form item: Mitotic Count.
May contain organization-specific values: Yes
Category Entries:
Score 1
Score 2
Score 3
Only microinvasion present (not graded)
Score cannot be determined
36 NUM_MITOSE_10_H_PWR NUMERIC No
CAP synoptic form item: Number of Mitoses per 10 High-Power Fields.
37 DIAMETR_MICRSCP_FLD NUMERIC No
CAP synoptic form item: Diameter of Microscope Field.
38 HIST_OVERALL_GRD_C_NAME VARCHAR No
CAP synoptic form item: Histologic Grade - Overall Grade.
May contain organization-specific values: Yes
Category Entries:
Grade 1: scores of 3, 4 or 5
Grade 2: scores of 6 or 7
Grade 3: scores of 8 or 9
Only microinvasion present (not graded)
Score cannot be determined
39 TMR_DUCT_CARC_SIT_C_NAME VARCHAR No
CAP synoptic form item: Tumor Ductal Carcinoma In Situ (DCIS).
May contain organization-specific values: Yes
Category Entries:
No DCIS is present
DCIS is present
40 TMR_NO_RESID_CAR_YN VARCHAR No
CAP synoptic form item: Tumor No Residual Invasive Carcinoma After Presurgical (Neoadjuvant) Therapy for the Presence of Invasive Carcinoma section.
May contain organization-specific values: No
Category Entries:
No
Yes
41 MICROINVASN_ONLY_YN VARCHAR No
CAP synoptic form item: Microinvasion Only.
The category values for this column were already listed for column: TMR_NO_RESID_CAR_YN
42 TMR_FOC_NUM_FOCI NUMERIC No
CAP synoptic form item: Tumor Focality Number of Foci.
43 TMR_FOC_SZ_IND_FOCI VARCHAR No
CAP synoptic form item: Tumor Focality Size of Individual Foci.
44 EXTENT_TMR_NIPPLE_C_NAME VARCHAR No
CAP synoptic form item: Extent of Tumor - Nipple.
May contain organization-specific values: Yes
Category Entries:
Not applicable
DCIS does not involve the nipple epidermis.
DCIS involves nipple epidermis (Paget disease of the nipple)
45 EXT_TMR_SKEL_MUSC_C_NAME VARCHAR No
CAP synoptic form item: Extent of Tumor - Skeletal Muscle.
May contain organization-specific values: Yes
Category Entries:
No skeletal muscle is present
Skeletal muscle is present and is free of carcinoma
Carcinoma invades skeletal muscle
Carcinoma invades into skeletal muscle and into the chest wall (classified as T4a)
46 MRG_INV_CARCINOMA_C_NAME VARCHAR No
CAP synoptic form item: Margin Invasive Carcinoma.
May contain organization-specific values: Yes
Category Entries:
Cannot be assessed
Benign glands at surgical margin
No tumor at margins
Tumor present at surgical margin of optic nerve
Extrascleral extension (for enucleation specimens)
No melanoma at margins
Margins uninvolved by tumor
Margins involved by tumor
Margins negative for tumor
Margin involvement by tumor not identified
Margins uninvolved by invasive carcinoma
Margins involved by invasive carcinoma
Margins uninvolved by carcinoma
Margins involved by carcinoma
Margins uninvolved by sarcoma
Margins involved by sarcoma
Margins positive for sarcoma
Sarcoma involvement of margins not identified
Margins negative for sarcoma
Margins uninvolved by DCIS (DCIS present)
Margins positive for DCIS
Margins negative for mesothelioma
Margins involved by mesothelioma
Margins uninvolved by malignant tumor
Margins involved by malignant tumor
Margins uninvolved by carcinoma in situ
Margins involved by carcinoma in situ
Indeterminate
Cannot be determined
Other Margins Involved
Not applicable
47 MARGIN_DCIS_C_NAME VARCHAR No
CAP synoptic form item: Margin Ductal Carcinoma In Situ (DCIS).
May contain organization-specific values: Yes
Category Entries:
Margins cannot be assessed
DCIS not present in specimen
Margins uninvolved by DCIS (DCIS present)
Margin(s) positive for DCIS
48 INV_CARC_CLOSE_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance from Closest Margin.
49 INV_CARC_SUPER_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Superior Margin.
50 INV_CARC_INFER_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Inferior Margin.
51 INV_CARC_ANTER_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Anterior Margin.
52 INV_CARC_POSTR_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Posterior Margin.
53 INV_CARC_MEDIAL_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Medial Margin.
54 INV_CARC_LATER_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance to Lateral Margin.
55 INV_CARC_OTHER_MRG NUMERIC No
CAP synoptic form item: Invasive Carcinoma Distance from Other Specified Margin.
56 INV_CARC_DESIGNAT VARCHAR No
CAP synoptic form item: Invasive Carcinoma Designation of Other Margin.
57 INV_SUPER_MRG_EXT_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Superior Margin Extent.
May contain organization-specific values: Yes
Category Entries:
Focal
Minimal / moderate
Extensive
58 INV_INFER_MRG_EXT_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Inferior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
59 INV_ANTER_MRG_EXT_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Anterior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
60 INV_POSTR_MRG_EXT_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Posterior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
61 INV_MEDL_MRG_EXT_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Medial Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
62 INV_LATER_MRG_EX_C_NAME VARCHAR No
CAP synoptic form item: Invasive Carcinoma Lateral Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
63 DCIS_CLOSEST_MARGIN NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance from Closest Margin.
64 DCIS_SUPERIOR_MRG NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Superior Margin.
65 DCIS_INFERIOR_MRG NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Inferior Margin.
66 DCIS_ANTERIOR_MRG NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Anterior Margin.
67 DCIS_POSTERIOR_MRG NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Posterior margin.
68 DCIS_MEDIAL_MARGIN NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Medial Margin.
69 DCIS_LATERAL_MARGIN NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance to Lateral Margin.
70 DCIS_OTHER_MARGIN NUMERIC No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Distance from Other Specified margin.
71 DCIS_DESIGNAT_MRG VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Designation of Margin.
72 DCIS_SUPERIOR_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Superior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
73 DCIS_INFERIOR_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Inferior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
74 DCIS_ANTERIOR_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Anterior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
75 DCIS_POSTERR_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Posterior Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
76 DCIS_MEDIAL_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Medial Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
77 DCIS_LATER_EXT_C_NAME VARCHAR No
CAP synoptic form item: Ductal Carcinoma In Situ (DCIS) Lateral Margin Extent.
The category values for this column were already listed for column: INV_SUPER_MRG_EXT_C_NAME
78 TREAT_EFF_BREAST_C_NAME VARCHAR No
CAP synoptic form item: Treatment Effect - Neoadjuvant Therapy In The Breast.
May contain organization-specific values: Yes
Category Entries:
No known presurgical therapy
No definite response to presurgical therapy in the invasive carcinoma
Probable or definite response to presurgical therapy in the invasive carcinoma
No residual invasive carcinoma is present in the breast after presurgical therapy
79 TREAT_EFF_LYMPH_C_NAME VARCHAR No
CAP synoptic form item: Treatment Effect Neoadjuvant Therapy In The Lymph Nodes.
May contain organization-specific values: Yes
Category Entries:
No known presurgical therapy
No lymph nodes removed
No definite response to presurgical therapy in metastatic carcinoma
Probable or definite response to presurgical therapy in metastatic carcinoma
No lymph node metastases; Fibrous scarring, possibly related to prior metastasis
No lymph node metastases and no prominent fibrous scarring in the nodes
80 LYM_ND_NOT_PRES_YN VARCHAR No
CAP synoptic form item: Lymph Nodes Present in Specimen.
The category values for this column were already listed for column: TMR_NO_RESID_CAR_YN
81 TOT_NUM_LYM_ND_EXAM NUMERIC No
CAP synoptic form item: Total Number of Lymph Nodes Examined (Sentinel and Nonsentinel).
82 NUM_LYM_ND_ISO_TMR NUMERIC No
CAP synoptic form item: Number of Lymph Nodes with Isolated Tumor Cells.
83 MIC_MC_METAS_PRE_YN VARCHAR No
CAP synoptic form item: Micro/Macro Metastases Present.
The category values for this column were already listed for column: TMR_NO_RESID_CAR_YN
84 NUM_LYM_ND_MACROMET NUMERIC No
CAP synoptic form item: Number of Lymph Nodes with Macrometastases.
85 NUM_LYM_ND_MICROMET NUMERIC No
CAP synoptic form item: Number of Lymph Nodes with Micrometastases.
86 SZ_LRGST_METAS_DEP NUMERIC No
CAP synoptic form item: Size of Largest Metastatic Deposit.
87 LYMPH_NODES_UNITS_C_NAME VARCHAR No
CAP synoptic form item: Lymph Nodes - Specify Units.
May contain organization-specific values: Yes
Category Entries:
mm
cm
88 SENT_BIOP_NT_PER_YN VARCHAR No
CAP synoptic form item: Sentinel Lymph Node - Biopsy Not Performed.
The category values for this column were already listed for column: TMR_NO_RESID_CAR_YN
89 LYM_ND_EXNDL_EXT_C_NAME VARCHAR No
CAP synoptic form item: Lymph Nodes, Extranodal Extension.
May contain organization-specific values: Yes
Category Entries:
Cannot be assessed
Not identified
Absent
Present
Indeterminate
Portal vein invasion present
Hepatic vein invasion present
Present within tumor nodules
Present in vessels of parenchyma outside of tumor nodules
Cannot be determined
90 NUM_SENT_LYM_EXAM NUMERIC No
CAP synoptic form item: Number of Sentinel Lymph Nodes Examined.
91 EVAL_SENT_ND_SPFY VARCHAR No
CAP synoptic form item: Specify Method of Evaluation of Sentinel Lymph Nodes.
92 ESTRGN_RECEPTOR_C_NAME VARCHAR No
CAP synoptic form item: Estrogen Receptor.
May contain organization-specific values: Yes
Category Entries:
Performed
Immunoreactive tumor cells present
No immunoreactive tumor cells present
Pending
Not performed
Other
93 ESTRGN_RECP_PERF_C_NAME VARCHAR No
CAP synoptic form item: Estrogen Receptor Performed.
May contain organization-specific values: Yes
Category Entries:
Performed on this specimen
Performed on another specimen
94 ESTROGEN_RECP_SPEC VARCHAR No
CAP synoptic form item: Estrogen Receptor - Specify Performed Specimen.
95 ESTRGN_RECP_PERCN_C_NAME VARCHAR No
CAP synoptic form item: Estrogen Receptor Results (percentage of cells).
May contain organization-specific values: Yes
Category Entries:
Immunoreactive tumor cells present (>= 1%)
Less than 1% immunoreactive tumor cells present
No immunoreactive tumor cells present
Results unknown
Other
96 ESTRGN_RECP_AVG_C_NAME VARCHAR No
CAP synoptic form item: Estrogen Receptor Results (average intensity of tumor cell nuclei staining).
May contain organization-specific values: Yes
Category Entries:
Absent
Weak
Medium
Strong
Other