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pdf2007 Post Transplant Malignancy Changes for OMB Clearance
SECTION
Donor Related
FIELD
MODIFICATION/ADDITION
RATIONALE
Immunosuppression This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment
This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment outcome
This question will be optional for adult No longer necessary.
and pediatric recipients.
Post
Tx Clonality
Lymphoproliferative
Disease
and
Lymphoma
This question will be optional for adult No longer necessary.
and pediatric recipients.
Predominant cell
type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Epstein-Barr virus
(EBV) status of
tumor
This question will be optional for adult No longer necessary.
and pediatric recipients.
Anatomy
This question will be optional for adult No longer necessary.
and pediatric recipients.
Lymph nodes
This question will be optional for adult No longer necessary.
and pediatric recipients.
Extranodal sites
This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment
This question will be optional for adult No longer necessary.
and pediatric recipients.
Ann Arbor Stage
This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment best
response
This question will be optional for adult No longer necessary.
and pediatric recipients.
Page 1 of 4
3/30/2007
2007 Post Transplant Malignancy Changes for OMB Clearance
SECTION
Recurrence
Pretransplant
Malignancy
FIELD
MODIFICATION/ADDITION
RATIONALE
of If skin number of
occurrences in
follow-up period
This question will be optional for adult No longer necessary.
and pediatric recipients.
If colo-rectal,
Duke’s
Classification
This question will be optional for adult No longer necessary.
and pediatric recipients.
If Lymphoma, type
This question will be optional for adult No longer necessary.
and pediatric recipients.
If Leukemia, type
This question will be optional for adult No longer necessary.
and pediatric recipients.
If other cancer,
specify
This question will be optional for adult No longer necessary.
and pediatric recipients.
Pre-existing
treatment date
This question will be optional for adult No longer necessary.
and pediatric recipients.
Pre-existing
treatment
This question will be optional for adult No longer necessary.
and pediatric recipients.
Sites affected
This question will be optional for adult No longer necessary.
and pediatric recipients.
Immunosuppression This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment of
recurrent tumor
This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment of
recurrent tumor
outcome
This question will be optional for adult No longer necessary.
and pediatric recipients.
Post Transplant De Skin, sites
Novo Solid Tumor
This question will be optional for adult No longer necessary.
and pediatric recipients.
Page 2 of 4
3/30/2007
2007 Post Transplant Malignancy Changes for OMB Clearance
SECTION
FIELD
MODIFICATION/ADDITION
RATIONALE
Skin, site location
This question will be optional for adult No longer necessary.
and pediatric recipients.
Skin, spread
This question will be optional for adult No longer necessary.
and pediatric recipients.
Skin number of
occurrences
This question will be optional for adult No longer necessary.
and pediatric recipients.
Renal carcinoma,
sites
This question will be optional for adult No longer necessary.
and pediatric recipients.
Carcinoma of the
uterus type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Colo-rectal Duke’s
Classification
This question will be optional for adult No longer necessary.
and pediatric recipients.
Primary hepatic
tumor, specify type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Metastatic liver
tumor, specify
original site
This question will be optional for adult No longer necessary.
and pediatric recipients.
Lung (include
bronchial)
This question will be optional for adult No longer necessary.
and pediatric recipients.
Leukemia, type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Sarcomas, site
This question will be optional for adult No longer necessary.
and pediatric recipients.
Sarcomas, specify
type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Other cancers,
specify type
This question will be optional for adult No longer necessary.
and pediatric recipients.
Page 3 of 4
3/30/2007
2007 Post Transplant Malignancy Changes for OMB Clearance
SECTION
FIELD
MODIFICATION/ADDITION
RATIONALE
Outcome
This question will be optional for adult No longer necessary.
and pediatric recipients.
Sites affected
This question will be optional for adult No longer necessary.
and pediatric recipients.
Immunosuppression This question will be optional for adult No longer necessary.
and pediatric recipients.
Treatment
This question will be optional for adult No longer necessary.
and pediatric recipients.
Best treatment
response
This question will be optional for adult No longer necessary.
and pediatric recipients.
Page 4 of 4
3/30/2007
File Type | application/pdf |
File Title | Microsoft Word - Post Transplant Malig Doc.doc |
Author | brownrn |
File Modified | 2007-03-30 |
File Created | 2007-03-30 |